This log is also available as text (s20658.txt) and as a (binary) annotation file (s20658.log).
Generated: Monday, 07-Jun-2010 13:20:33 EDT
(All dates below are surrogates.)
t0: [12:19:21 29/05/2016] tf: [15:21:51 01/07/2016] id: a40493 [view]
t0: [12:17:59 29/05/2016] tf: [15:21:59 01/07/2016] id: a40493n [view]
dd: 2720 ds: 6 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 4280 ds: 2 ld: CONGESTIVE HEART FAILURE dd: 44021 ds: 1 ld: ATHEROSCLE EXTR W/CLAUDI dd: 4412 ds: 3 ld: THORACIC AORTIC ANEURYSM dd: 4471 ds: 4 ld: STRICTURE OF ARTERY dd: 53081 ds: 5 ld: ESOPHAGEAL REFLUX dd: 73300 ds: 8 ld: OSTEOPOROSIS NOS
dd: 2720 ds: 6 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 5 ld: HYPERTENSION NOS dd: 4241 ds: 3 ld: AORTIC VALVE DISORDER dd: 4280 ds: 2 ld: CONGESTIVE HEART FAILURE dd: 4417 ds: 1 ld: THORACOAB ANEUR W/O RUPT dd: 53081 ds: 4 ld: ESOPHAGEAL REFLUX
dd: 2720 ds: 8 ld: PURE HYPERCHOLESTEROLEM dd: 2851 ds: 2 ld: AC POSTHEMORRHAG ANEMIA dd: 3970 ds: 4 ld: TRICUSPID VALVE DISEASE dd: 4019 ds: 9 ld: HYPERTENSION NOS dd: 4241 ds: 3 ld: AORTIC VALVE DISORDER dd: 44021 ds: 1 ld: ATHEROSCLE EXTR W/CLAUDI dd: 4417 ds: 5 ld: THORACOAB ANEUR W/O RUPT dd: 53081 ds: 7 ld: ESOPHAGEAL REFLUX dd: 73300 ds: 6 ld: OSTEOPOROSIS NOS
dd: 2874 ds: 6 ld: SECOND THROMBOCYTOPENIA dd: 4280 ds: 5 ld: CONGESTIVE HEART FAILURE dd: 4417 ds: 1 ld: THORACOAB ANEUR W/O RUPT dd: 4821 ds: 3 ld: PSEUDOMONAL PNEUMONIA dd: 5119 ds: 9 ld: PLEURAL EFFUSION NOS dd: 5185 ds: 2 ld: POST TRAUM PULM INSUFFIC dd: 5770 ds: 8 ld: ACUTE PANCREATITIS dd: 99812 ds: 4 ld: HEMATOMA COMPL PROCEDURE dd: 99832 ds: 7 ld: DISRUPT EXTER OPER WOUNF
tf: [19:00:00 14/07/2016] pt: Non-Formulary rt: PO fr: QAM fs: 6 dn: 1 m1: Risedronate (Actonel) f1: TAB v1: 5 u1: mg
tf: [08:00:00 13/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Hydrochlorothiazide f1: TAB v1: 25 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Multivitamins f1: CAP v1: 1 u1: CAP tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Vitamin D f1: TAB v1: 400 u1: UNIT
tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: TID W/MEALS fs: 08, 12, 17 dn: 3 m1: Calcium Carbonate f1: TAB v1: 500 u1: mg
tf: [17:00:00 11/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 18 dn: 1 m1: Magnesium Citrate f1: SOLN v1: 150 u1: ml tf: [17:00:00 11/07/2016] pt: Unit Dose rt: PO fr: TID fs: 18, 19, 23 dn: 3 m1: Erythromycin f1: TAB v1: 1000 u1: mg tf: [17:00:00 11/07/2016] pt: Unit Dose rt: PO fr: TID fs: 18, 19, 23 dn: 3 m1: Neomycin Sulfate f1: TAB v1: 1000 u1: mg
tf: [19:00:00 11/07/2016] pt: Unit Dose rt: PO fr: ONCE MR1 fs: 20 dn: 1 m1: Zolpidem Tartrate f1: TAB v1: 5 u1: mg tf: [19:00:00 14/07/2016] pt: Non-Formulary rt: PO fr: QAM fs: 10 dn: 1 m1: Menest (esterified estrogens) f1: TAB v1: 0.625 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: BID fs: 08, 12 dn: 2 m1: Desipramine HCl f1: TAB v1: 50 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Desipramine HCl f1: TAB v1: 25 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Desipramine HCl f1: TAB v1: 50 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: Q24H fs: 10 dn: 1 m1: Pantoprazole f1: TAB v1: 40 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen f1: TAB v1: 325-650 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Lorazepam f1: TAB v1: 0.5-1 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Lorazepam f1: TAB v1: 0.5-1 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Valsartan f1: TAB v1: 160 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) f1: SUPP v1: 10 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: SC fr: Q12H fs: 20, 8 dn: 2 m1: Heparin f1: INJ v1: 5000 u1: UNIT
tf: [22:00:00 10/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride f1: CAP v1: 40 u1: mEq tf: [15:00:00 11/07/2016] pt: Unit Dose rt: PO fr: Q24H fs: 22 dn: 1 m1: Levofloxacin f1: TAB v1: 500 u1: mg tf: [21:00:00 11/07/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 22 dn: 1 m1: Potassium Chloride f1: INJ v1: 40 u1: mEq m2: NS f2: INJ v2: 500 u2: ml tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium f1: CAP v1: 200 u1: mg tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Senna f1: TAB v1: 2 u1: TAB tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Propranolol HCl f1: TAB v1: 40 u1: mg
tf: [22:00:00 11/07/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Potassium Chloride f1: INJ v1: 40 u1: mEq m2: NS f2: INJ v2: 500 u2: ml
tf: [00:00:00 12/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Ondansetron f1: INJ v1: 4 u1: mg
tf: [09:00:00 12/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg
tf: [11:00:00 13/07/2016] pt: Unit Dose rt: PO fr: ASDIR m1: Erythromycin v1: 1000 u1: mg tf: [11:00:00 13/07/2016] pt: Unit Dose rt: PO fr: ASDIR m1: Neomycin Sulfate v1: 1000 u1: mg
tf: [19:00:00 14/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Hydrochlorothiazide v1: 25 u1: mg
tf: [10:00:00 14/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Magnesium Citrate v1: 150 u1: ml
tf: [15:00:00 14/07/2016] pt: Unit Dose rt: PO fr: ASDIR m1: Potassium Chloride v1: 40 u1: mEq tf: [14:00:00 25/07/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron v1: 2 u1: mg
tf: [15:27:00 17/08/2016] dt: 48992 cu: CSRU de: FA2
t0: [11:35:00 14/07/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd t0: [11:40:00 14/07/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd t0: [11:41:00 14/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 85 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 334 u1: mmHg rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [11:44:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 285 u1: mmHg rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.78 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [13:36:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.21 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -12 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 244 u1: mmHg rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.21 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 300 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.33 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.6 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd t0: [14:24:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CSRU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [14:56:00 14/07/2016] id: BSA el: 1033 cu: CSRU cg: -1 v1: 1.59967 u1: m2 t0: [14:56:00 14/07/2016] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 52 u1: kg t0: [14:56:00 14/07/2016] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Iodine t0: [14:56:00 14/07/2016] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: S/P AAA t0: [14:56:00 14/07/2016] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [14:56:00 14/07/2016] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 73 u1: inches t0: [14:56:00 14/07/2016] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [14:56:00 14/07/2016] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: W t0: [14:56:00 14/07/2016] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [14:56:00 14/07/2016] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [14:56:00 14/07/2016] id: Ext el: 1010 cu: CSRU cg: -1 t0: [14:56:00 14/07/2016] id: PIN el: 1012 cu: CSRU cg: -1 t0: [14:56:00 14/07/2016] id: Allergy 3 el: 1022 cu: CSRU cg: -1
id: Epinephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions am: 2 du: mcgkgmin rt: IV Drip id: Levophed-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: KCL el: 100 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 1 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: Lactated Ringers el: 1 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push id: Sterile Water el: 1 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [15:27:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -10 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 351 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.26 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 196 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.68 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [15:27:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd
id: Dopamine el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:06:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 297 u1: mmHg rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [16:06:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.78 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [16:06:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [16:31:00 14/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [16:31:00 14/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:31:00 14/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 90 u1: decFrc st: NotStopd t0: [16:31:00 14/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [16:31:00 14/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [16:31:00 14/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [16:31:00 14/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [16:31:00 14/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [16:31:00 14/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [16:31:00 14/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.3 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [16:31:00 14/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [16:31:00 14/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [16:31:00 14/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [16:31:00 14/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:31:00 14/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:31:00 14/07/2016] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:31:00 14/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:31:00 14/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:31:00 14/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:31:00 14/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:31:00 14/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:31:00 14/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:31:00 14/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:31:00 14/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [16:31:00 14/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [16:31:00 14/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [16:45:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:45:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:45:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [16:45:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [16:45:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [16:45:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:45:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [16:45:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:45:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:45:00 14/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml
t0: [16:45:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48882 id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:45:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:45:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [16:45:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd
t0: [16:35:00 14/07/2016] tf: [01:00:00 15/07/2016] dt: 505 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 130 vu: ml
id: Packed RBC's el: 1 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [16:45:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [16:45:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.7328 u1: kg x m st: NotStopd t0: [16:45:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [16:45:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.096 u1: g * m st: NotStopd t0: [16:45:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [16:45:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 50.625 u1: ... st: NotStopd t0: [16:45:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 717.241 u1: ... st: NotStopd t0: [16:45:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1146.01 u1: ... st: NotStopd t0: [16:45:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 80.5556 u1: ml st: NotStopd t0: [16:45:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [16:45:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [17:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [17:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [17:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [17:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.76544 u1: kg x m st: NotStopd t0: [17:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [17:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.5248 u1: g * m st: NotStopd t0: [17:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [17:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [17:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.25 u1: ... st: NotStopd t0: [17:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1016.67 u1: ... st: NotStopd t0: [17:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1626.67 u1: ... st: NotStopd t0: [17:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.7534 u1: ml st: NotStopd t0: [17:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [17:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [17:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [17:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd t0: [17:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd
t0: [16:45:00 14/07/2016] tf: [20:00:00 14/07/2016] dt: 195 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 107 vo: 5000 vu: ml t0: [16:45:00 14/07/2016] tf: [15:00:00 15/07/2016] dt: 1335 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 375 vu: ml t0: [16:45:00 14/07/2016] tf: [20:00:00 14/07/2016] dt: 195 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 235 vu: ml t0: [17:00:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48867 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.4625 vu: ml t0: [17:00:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48867 id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [17:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [17:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 14/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 14/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd
t0: [17:15:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 16 vu: ml
t0: [16:45:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:15:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:15:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:15:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [17:15:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:15:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [17:15:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:15:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:15:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:15:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:30:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [17:30:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [17:30:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:45:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [17:45:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:45:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:45:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:45:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [17:45:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.86432 u1: kg x m st: NotStopd t0: [17:45:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [17:45:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 69.3056 u1: g * m st: NotStopd t0: [17:45:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.125 u1: g*m/m2 st: NotStopd t0: [17:45:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [17:45:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:45:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:45:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [17:45:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1654.55 u1: ... st: NotStopd t0: [17:45:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2647.27 u1: ... st: NotStopd t0: [17:45:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:45:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.7647 u1: ml st: NotStopd t0: [17:45:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 89 u1: % st: NotStopd t0: [17:45:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:45:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [17:45:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [17:45:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:45:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd t0: [17:45:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd
t0: [17:15:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48852 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:15:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48822 id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:45:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:44:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 198 u1: mmHg rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:45:00 14/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [17:45:00 14/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [17:50:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:50:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:50:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:50:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:50:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:50:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [17:50:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.6256 u1: g * m st: NotStopd t0: [17:50:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [17:50:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:50:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:50:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:50:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:50:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:50:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [17:50:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:50:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [17:50:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:50:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:50:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:50:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:50:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:50:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd
t0: [17:42:00 14/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.5 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.4 u1: % rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: /mic l rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.5 rs: Final st: NotStopd t0: [17:44:00 14/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.1903 u1: ml/dl st: NotStopd t0: [17:44:00 14/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 720 u1: ml/min st: NotStopd t0: [17:44:00 14/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 450 u1: ml/m/m st: NotStopd t0: [17:44:00 14/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 720 u1: ml/min st: NotStopd t0: [17:44:00 14/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 450 u1: ml/m/m st: NotStopd t0: [17:44:00 14/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 720 u1: ml/min st: NotStopd t0: [17:44:00 14/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 450 u1: ml/m/m st: NotStopd
tf: [17:00:00 15/07/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 18, 2, 10 dn: 3 m1: Cefazolin v1: 1 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml tf: [09:00:00 25/07/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml tf: [08:00:00 28/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml
t0: [18:00:00 14/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [18:00:00 14/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd
t0: [17:45:00 14/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [17:45:00 14/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [17:45:00 14/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [17:45:00 14/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:45:00 14/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [17:45:00 14/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:45:00 14/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [17:45:00 14/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [17:45:00 14/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [17:45:00 14/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [17:45:00 14/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Unresponsive st: NotStopd t0: [17:45:00 14/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:45:00 14/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:45:00 14/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [17:45:00 14/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [17:45:00 14/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:45:00 14/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: Clear st: NotStopd t0: [17:45:00 14/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:45:00 14/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:45:00 14/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [17:45:00 14/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [17:45:00 14/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [17:45:00 14/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [17:45:00 14/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [18:00:00 14/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 14/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Sanguinous v2: Scant st: NotStopd t0: [18:00:00 14/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [18:00:00 14/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 14/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 14/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 14/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 14/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 14/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 14/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 14/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [18:00:00 14/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [18:00:00 14/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [17:42:00 14/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.2 rs: Final st: NotStopd
t0: [18:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [18:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [18:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [18:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.75456 u1: kg x m st: NotStopd t0: [18:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [18:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.0576 u1: g * m st: NotStopd t0: [18:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [18:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [18:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [18:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1726.32 u1: ... st: NotStopd t0: [18:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2756.3 u1: ... st: NotStopd t0: [18:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.5 u1: ml st: NotStopd t0: [18:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 82 u1: % st: NotStopd t0: [18:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [18:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [18:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [18:00:00 14/07/2016] tf: [19:00:00 14/07/2016] dt: 60 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [18:00:00 14/07/2016] tf: [23:00:00 14/07/2016] dt: 300 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 14/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0.65 vu: ml t0: [18:00:00 14/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [18:00:00 14/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 5.98 vu: ml t0: [18:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [18:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 24 vu: ml
t0: [18:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:20:00 14/07/2016] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 375 vu: ml
t0: [17:00:00 14/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [17:00:00 14/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [17:00:00 14/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [17:00:00 14/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [17:00:00 14/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 14/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [17:00:00 14/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [17:00:00 14/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [17:00:00 14/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [17:00:00 14/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [17:00:00 14/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 25 st: NotStopd t0: [17:00:00 14/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [17:00:00 14/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 14/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [17:00:00 14/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd
t0: [18:15:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:15:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:15:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [18:15:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [18:15:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [18:15:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:15:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.55328 u1: kg x m st: NotStopd t0: [18:15:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [18:15:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.3864 u1: g * m st: NotStopd t0: [18:15:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [18:15:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [18:15:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:15:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [18:15:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:15:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:15:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.875 u1: ... st: NotStopd t0: [18:15:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1866.67 u1: ... st: NotStopd t0: [18:15:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2986.67 u1: ... st: NotStopd t0: [18:15:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:15:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 42.8571 u1: ml st: NotStopd t0: [18:15:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 82 u1: % st: NotStopd t0: [18:15:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:15:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd t0: [18:15:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd
t0: [18:15:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:15:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:15:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:42:00 14/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 488 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 51 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 12 u1: mg/dl rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.7 u1: mEq/L rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [17:42:00 14/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [17:42:00 14/07/2016] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 1527 rs: Final st: NotStopd
t0: [18:30:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:30:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:30:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [18:30:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:30:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:30:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:30:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [18:30:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:30:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:30:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:45:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [18:45:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:45:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:45:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [18:45:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.06736 u1: kg x m st: NotStopd t0: [18:45:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [18:45:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.4864 u1: g * m st: NotStopd t0: [18:45:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.875 u1: g*m/m2 st: NotStopd t0: [18:45:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:45:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:45:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:45:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [18:45:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1252.17 u1: ... st: NotStopd t0: [18:45:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2000 u1: ... st: NotStopd t0: [18:45:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:45:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.1176 u1: ml st: NotStopd t0: [18:45:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 83 u1: % st: NotStopd t0: [18:45:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd t0: [18:45:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd
t0: [18:30:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:45:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [19:00:00 15/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml
id: Fresh Frozen Plasma el: 1 cu: CSRU cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [19:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [19:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.7328 u1: kg x m st: NotStopd t0: [19:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [19:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.4272 u1: g * m st: NotStopd t0: [19:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [19:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [19:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [19:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.75 u1: ... st: NotStopd t0: [19:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1540 u1: ... st: NotStopd t0: [19:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2464 u1: ... st: NotStopd t0: [19:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.977 u1: ml st: NotStopd t0: [19:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [19:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd t0: [19:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd
t0: [19:00:00 14/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.6 vu: ml t0: [19:00:00 14/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [19:00:00 14/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [19:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [19:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [18:45:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:55:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:40:00 14/07/2016] tf: [15:27:00 17/08/2016] dt: 48767 id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [19:00:00 14/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [18:40:00 14/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 68 rs: Manual st: NotStopd
t0: [19:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [19:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [19:10:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:10:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:10:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:10:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:10:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:10:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.5552 u1: g * m st: NotStopd t0: [19:10:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [19:10:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [19:10:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:10:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [19:10:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:10:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:10:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1620 u1: ... st: NotStopd t0: [19:10:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:10:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:10:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd
t0: [19:25:00 14/07/2016] tf: [20:00:00 18/07/2016] dt: 5795 id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 233 vu: ml
t0: [19:10:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:10:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:10:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:10:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:10:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [19:20:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [19:25:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:25:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:25:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:25:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [19:25:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [19:25:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:25:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [19:25:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:25:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:25:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:25:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [19:25:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:25:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:25:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:25:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:25:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:35:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:35:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:35:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:35:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [19:35:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [19:35:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:35:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:35:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:35:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:35:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd
t0: [19:15:00 14/07/2016] tf: [08:00:00 15/07/2016] dt: 765 id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [19:25:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:25:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:25:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:35:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:35:00 14/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:35:00 14/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:25:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 33.456 u1: g * m st: NotStopd t0: [19:25:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.625 u1: g*m/m2 st: NotStopd t0: [19:25:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1046.15 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.66752 u1: kg x m st: NotStopd t0: [19:35:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.0688 u1: g * m st: NotStopd t0: [19:35:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [19:35:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.625 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2557.38 u1: ... st: NotStopd t0: [19:35:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 41.0526 u1: ml st: NotStopd t0: [19:35:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 84 u1: % st: NotStopd t0: [19:35:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [20:00:00 14/07/2016] id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 14/07/2016] id: OR Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [21:00:00 14/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Nitroprusside Sodium v1: 50 u1: mg m2: D5W v2: 250 u2: ml
t0: [19:45:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:45:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [19:45:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.3125 u1: ... st: NotStopd t0: [19:45:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:45:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [19:45:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [19:45:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [19:45:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [19:45:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [19:45:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.57912 u1: kg x m st: NotStopd t0: [19:45:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.875 u1: ... st: NotStopd t0: [19:45:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.2664 u1: g * m st: NotStopd t0: [19:45:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [19:45:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 36 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [19:45:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:45:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [19:45:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:45:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [19:45:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 24.375 u1: ... st: NotStopd t0: [19:45:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1794.59 u1: ... st: NotStopd t0: [19:45:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2874.46 u1: ... st: NotStopd t0: [19:45:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:45:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 38.9474 u1: ml st: NotStopd t0: [19:45:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 82 u1: % st: NotStopd t0: [19:45:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [19:45:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [19:45:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [19:45:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:45:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.7 u1: L/min st: NotStopd t0: [19:45:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 14/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 14/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.3125 u1: ... st: NotStopd t0: [20:00:00 14/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 14/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [20:00:00 14/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 14/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 14/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 14/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [20:00:00 14/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [20:00:00 14/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [20:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [20:00:00 14/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient/Sig Othr st: NotStopd t0: [20:00:00 14/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [20:00:00 14/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 14/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [20:00:00 14/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [20:00:00 14/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [20:00:00 14/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 14/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 14/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 14/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 14/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [20:00:00 14/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [20:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [20:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [20:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 14/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [20:00:00 14/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 14/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 14/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 14/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 14/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [20:00:00 14/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Antecub v2: 14 gauge st: NotStopd t0: [20:00:00 14/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [20:00:00 14/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Antecub v2: 14 gauge st: NotStopd t0: [20:00:00 14/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 25 st: NotStopd t0: [20:00:00 14/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 14/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 14/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.87464 u1: kg x m st: NotStopd t0: [20:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [20:00:00 14/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 14/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 14/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 38.7464 u1: g * m st: NotStopd t0: [20:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 24.375 u1: g*m/m2 st: NotStopd t0: [20:00:00 14/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 14/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 14/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [20:00:00 14/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [20:00:00 14/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 14/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 14/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 14/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [20:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 14/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 14/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 14/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 14/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 14/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 14/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 14/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 14/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:00:00 14/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 14/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 14/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [20:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [20:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1491.89 u1: ... st: NotStopd t0: [20:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2389.61 u1: ... st: NotStopd t0: [20:00:00 14/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 14/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:00:00 14/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Golden v2: Liquid st: NotStopd t0: [20:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 37.3737 u1: ml st: NotStopd t0: [20:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 80 u1: % st: NotStopd t0: [20:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [20:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [20:00:00 14/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Green v2: Clear st: NotStopd t0: [20:00:00 14/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.7 u1: L/min st: NotStopd t0: [20:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [20:00:00 14/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [20:00:00 14/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [20:00:00 14/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [20:00:00 14/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [20:00:00 14/07/2016] tf: [23:00:00 14/07/2016] dt: 180 id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [20:00:00 14/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [20:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml t0: [20:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [19:45:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:45:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:45:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:35:00 14/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [20:35:00 14/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:35:00 14/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 8 u1: decFrc st: NotStopd t0: [20:35:00 14/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:35:00 14/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:35:00 14/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [20:35:00 14/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [20:35:00 14/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [20:35:00 14/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [20:35:00 14/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.2 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:35:00 14/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [20:35:00 14/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [20:35:00 14/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [20:35:00 14/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:35:00 14/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:35:00 14/07/2016] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:35:00 14/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:35:00 14/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:35:00 14/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:35:00 14/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:35:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:35:00 14/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 525 u1: ml/B st: NotStopd t0: [20:35:00 14/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:35:00 14/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:35:00 14/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:35:00 14/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [20:35:00 14/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
tf: [10:00:00 15/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Dextrose 50% v1: 12.5 u1: gm tf: [10:00:00 15/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Glycopyrrolate v1: 0.6 u1: mg tf: [10:00:00 15/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 21 dn: 1 m1: Neostigmine v1: 3 u1: mg tf: [09:00:00 25/07/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB tf: [14:00:00 25/07/2016] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate v1: 0.5-4 u1: mg tf: [15:00:00 17/08/2016] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate v1: 2 u1: gm tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: PRN m1: Magnesium Sulfate v1: 2 u1: gm
t0: [20:15:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:15:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [20:15:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [20:15:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:15:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [20:15:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [20:15:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [20:15:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [20:15:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [20:15:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.81888 u1: kg x m st: NotStopd t0: [20:15:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [20:15:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 42.1056 u1: g * m st: NotStopd t0: [20:15:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.25 u1: g*m/m2 st: NotStopd t0: [20:15:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:15:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:15:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [20:15:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:15:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:15:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 26.875 u1: ... st: NotStopd t0: [20:15:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1271.79 u1: ... st: NotStopd t0: [20:15:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2032.79 u1: ... st: NotStopd t0: [20:15:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:15:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 43.3333 u1: ml st: NotStopd t0: [20:15:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 84 u1: % st: NotStopd t0: [20:15:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [20:15:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [20:15:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [20:15:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:15:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.9 u1: L/min st: NotStopd t0: [20:15:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:30:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.125 u1: ... st: NotStopd t0: [20:30:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [20:30:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [20:30:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [20:30:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [20:30:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.236 u1: kg x m st: NotStopd t0: [20:30:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.25 u1: ... st: NotStopd t0: [20:30:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 61.7848 u1: g * m st: NotStopd t0: [20:30:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 38.75 u1: g*m/m2 st: NotStopd t0: [20:30:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 52 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [20:30:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:30:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:30:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 36.875 u1: ... st: NotStopd t0: [20:30:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1024 u1: ... st: NotStopd t0: [20:30:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1635.78 u1: ... st: NotStopd t0: [20:30:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:30:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 58.8235 u1: ml st: NotStopd t0: [20:30:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 84 u1: % st: NotStopd t0: [20:30:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [20:30:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [20:30:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [20:30:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:30:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5 u1: L/min st: NotStopd t0: [20:30:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:45:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.0625 u1: ... st: NotStopd t0: [20:45:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:45:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [20:45:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [20:45:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [20:45:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [20:45:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.46488 u1: kg x m st: NotStopd t0: [20:45:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.8125 u1: ... st: NotStopd t0: [20:45:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 51.0272 u1: g * m st: NotStopd t0: [20:45:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: g*m/m2 st: NotStopd t0: [20:45:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [20:45:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:45:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:45:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 35 u1: ... st: NotStopd t0: [20:45:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 914.286 u1: ... st: NotStopd t0: [20:45:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1464.05 u1: ... st: NotStopd t0: [20:45:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [20:45:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 55.6818 u1: ml st: NotStopd t0: [20:45:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 85 u1: % st: NotStopd t0: [20:45:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [20:45:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [20:45:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [20:45:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:45:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.9 u1: L/min st: NotStopd t0: [20:45:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.0625 u1: ... st: NotStopd t0: [21:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 14/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [21:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [21:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [21:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.73144 u1: kg x m st: NotStopd t0: [21:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.9375 u1: ... st: NotStopd t0: [21:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 54.0736 u1: g * m st: NotStopd t0: [21:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.75 u1: g*m/m2 st: NotStopd t0: [21:00:00 14/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [21:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 14/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [21:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 14/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 14/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [21:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [21:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 35 u1: ... st: NotStopd t0: [21:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 979.592 u1: ... st: NotStopd t0: [21:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1568.63 u1: ... st: NotStopd t0: [21:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 55.6818 u1: ml st: NotStopd t0: [21:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 85 u1: % st: NotStopd t0: [21:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [21:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [21:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [21:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.9 u1: L/min st: NotStopd t0: [21:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd
t0: [20:00:00 14/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vu: ml t0: [20:30:00 14/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [21:00:00 14/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [21:00:00 14/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 6.7 vu: ml t0: [21:00:00 14/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 226 vu: ml t0: [21:00:00 14/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [21:00:00 14/07/2016] tf: [22:00:00 14/07/2016] dt: 60 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [21:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml t0: [21:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [20:15:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:15:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:30:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:45:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/07/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 1209 ap: none
t0: [21:23:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 124 rs: Final st: NotStopd t0: [21:23:00 14/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.45 rs: Final st: NotStopd
t0: [21:24:00 14/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 76 rs: Final st: NotStopd
t0: [21:24:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.5 u1: ... st: NotStopd t0: [21:24:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1325.71 u1: ... st: NotStopd t0: [21:24:00 14/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: -1 v1: 5.60262 u1: L/min st: NotStopd t0: [21:30:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:30:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [21:30:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.875 u1: ... st: NotStopd t0: [21:30:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:30:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [21:30:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [21:30:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [21:30:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [21:30:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [21:30:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.25408 u1: kg x m st: NotStopd t0: [21:30:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [21:30:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.0896 u1: g * m st: NotStopd t0: [21:30:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [21:30:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:30:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [21:30:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [21:30:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:30:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [21:30:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 32.5 u1: ... st: NotStopd t0: [21:30:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1008.7 u1: ... st: NotStopd t0: [21:30:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1611.11 u1: ... st: NotStopd t0: [21:30:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [21:30:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 51.6854 u1: ml st: NotStopd t0: [21:30:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 83 u1: % st: NotStopd t0: [21:30:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [21:30:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [21:30:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [21:30:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:30:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.6 u1: L/min st: NotStopd t0: [21:30:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 56 u1: mmHg st: NotStopd
t0: [21:30:00 14/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [21:30:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:42:00 14/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [21:42:00 14/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [21:42:00 14/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [21:42:00 14/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [21:42:00 14/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [21:42:00 14/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:42:00 14/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:42:00 14/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [21:42:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:42:00 14/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [21:42:00 14/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [21:42:00 14/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [21:24:00 14/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34.4 u1: % rs: Final st: NotStopd
t0: [22:00:00 14/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [22:00:00 14/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [22:00:00 14/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 14/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [22:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [22:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [22:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [22:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.13264 u1: kg x m st: NotStopd t0: [22:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [22:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 55.352 u1: g * m st: NotStopd t0: [22:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 34.375 u1: g*m/m2 st: NotStopd t0: [22:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 14/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 14/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 14/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [22:00:00 14/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 14/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 14/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [22:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 34.375 u1: ... st: NotStopd t0: [22:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1019.61 u1: ... st: NotStopd t0: [22:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1630.09 u1: ... st: NotStopd t0: [22:00:00 14/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [22:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [22:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 55.4348 u1: ml st: NotStopd t0: [22:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 72 u1: % st: NotStopd t0: [22:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [22:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [22:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [22:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.1 u1: L/min st: NotStopd t0: [22:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd
t0: [22:00:00 14/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 6.5 vu: ml t0: [22:00:00 14/07/2016] tf: [15:00:00 17/07/2016] dt: 3900 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [22:00:00 14/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [22:00:00 14/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [22:00:00 14/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [22:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml t0: [22:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [22:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:25:00 14/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [22:25:00 14/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [22:25:00 14/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [22:25:00 14/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [22:25:00 14/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 115 u1: mmHg rs: Final st: NotStopd t0: [22:25:00 14/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [22:25:00 14/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [20:00:00 14/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 14/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 v1: Blanket v2: On st: NotStopd t0: [22:00:00 14/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 14/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [22:00:00 14/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [22:00:00 14/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [22:00:00 14/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [22:00:00 14/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [22:00:00 14/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [22:00:00 14/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [22:00:00 14/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [22:00:00 14/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 14/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [22:00:00 14/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [22:00:00 14/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 14/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [22:00:00 14/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 14/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [22:00:00 14/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 14/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [22:00:00 14/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v2: Level of Bed st: NotStopd t0: [22:00:00 14/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [22:00:00 14/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [22:00:00 14/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 14/07/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [22:00:00 14/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 14/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 14/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [22:00:00 14/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 14/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [22:00:00 14/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [22:00:00 14/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 14/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [22:00:00 14/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 14/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [22:00:00 14/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 v1: Blanket v2: On st: NotStopd t0: [22:00:00 14/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [22:00:00 14/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [22:00:00 14/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [22:00:00 14/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [22:00:00 14/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [22:25:00 14/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.9 rs: Final st: NotStopd t0: [22:30:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:30:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [22:30:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [22:30:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:30:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [22:30:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [22:30:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [22:30:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [22:30:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [22:30:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.51288 u1: kg x m st: NotStopd t0: [22:30:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [22:30:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 41.9832 u1: g * m st: NotStopd t0: [22:30:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.25 u1: g*m/m2 st: NotStopd t0: [22:30:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [22:30:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:30:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [22:30:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:30:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [22:30:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: ... st: NotStopd t0: [22:30:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1034.15 u1: ... st: NotStopd t0: [22:30:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1656.25 u1: ... st: NotStopd t0: [22:30:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:30:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 49.3976 u1: ml st: NotStopd t0: [22:30:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 71 u1: % st: NotStopd t0: [22:30:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [22:30:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [22:30:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [22:30:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:30:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd t0: [22:30:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 48 u1: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 14/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [23:00:00 14/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 14/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 14/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [23:00:00 14/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [23:00:00 14/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [23:00:00 14/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [23:00:00 14/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.07048 u1: kg x m st: NotStopd t0: [23:00:00 14/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [23:00:00 14/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 54.604 u1: g * m st: NotStopd t0: [23:00:00 14/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 34.375 u1: g*m/m2 st: NotStopd t0: [23:00:00 14/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 14/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 14/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 14/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [23:00:00 14/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 34.375 u1: ... st: NotStopd t0: [23:00:00 14/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1209.76 u1: ... st: NotStopd t0: [23:00:00 14/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1937.5 u1: ... st: NotStopd t0: [23:00:00 14/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 14/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 54.6667 u1: ml st: NotStopd t0: [23:00:00 14/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 73 u1: % st: NotStopd t0: [23:00:00 14/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [23:00:00 14/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [23:00:00 14/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [23:00:00 14/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:00:00 14/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd t0: [23:00:00 14/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd
t0: [23:00:00 14/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [23:00:00 14/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [23:00:00 14/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [23:00:00 14/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 4.68 vu: ml t0: [23:00:00 14/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml st: Stopped t0: [23:00:00 14/07/2016] tf: [01:00:00 15/07/2016] dt: 120 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [23:00:00 14/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [23:00:00 14/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [22:30:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 14/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 14/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 14/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 pv: 200 cv: 200 ap: none t0: [23:00:00 14/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 pv: -129.47 cv: -129.47 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 pv: 70.53 cv: 501.332 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 pv: 70.53 cv: 6710.33 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 pv: 150 cv: 1190 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 pv: -129.47 cv: 4820.33 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 pv: 200 cv: 1890 ap: none t0: [23:00:00 14/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 pv: 50 cv: 465 ap: none t0: [23:00:00 14/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 pv: -129.47 cv: 4820.33 ap: none
t0: [20:00:00 14/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 14/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Sanguinous v2: Scant st: NotStopd t0: [20:00:00 14/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 14/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 14/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 14/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [20:00:00 14/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [00:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [00:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [00:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 15/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [00:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [00:00:00 15/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [00:00:00 15/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [00:00:00 15/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 15/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [00:00:00 15/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [00:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 2 To pain st: NotStopd t0: [00:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [00:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 15/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [00:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [00:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [00:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [00:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 15/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [00:00:00 15/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Antecub v2: 14 gauge st: NotStopd t0: [00:00:00 15/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [00:00:00 15/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Antecub v2: 14 gauge st: NotStopd t0: [00:00:00 15/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 25 st: NotStopd t0: [00:00:00 15/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [00:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 15/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Sanguinous v2: Scant st: NotStopd t0: [00:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [00:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.82976 u1: kg x m st: NotStopd t0: [00:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [00:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 46.1312 u1: g * m st: NotStopd t0: [00:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: g*m/m2 st: NotStopd t0: [00:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 15/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [00:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [00:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [00:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [00:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [00:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 927.273 u1: ... st: NotStopd t0: [00:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1483.64 u1: ... st: NotStopd t0: [00:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 15/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 53.012 u1: ml st: NotStopd t0: [00:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [00:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [00:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [00:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [00:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Green v2: Clear st: NotStopd t0: [00:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 15/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 v1: Blanket v2: On st: NotStopd t0: [00:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 15/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [00:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd t0: [00:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 51 u1: mmHg st: NotStopd t0: [00:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [00:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [00:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 15/07/2016] tf: [12:46:00 16/07/2016] dt: 2206 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [00:00:00 15/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [00:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [00:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [00:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [00:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [00:00:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:00:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 8 u1: decFrc st: NotStopd t0: [00:00:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [00:00:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [00:00:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [00:00:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [00:00:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [00:00:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [00:00:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [00:00:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [00:00:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [00:00:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18.5 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 15/07/2016] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 528 u1: ml/B st: NotStopd t0: [00:00:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [00:00:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [00:51:00 15/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [00:51:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [00:51:00 15/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.31 rs: Final st: NotStopd
tf: [15:00:00 17/08/2016] pt: Unit Dose rt: OU fr: PRN m1: Lacri-Lube Oint v1: 1 u1: Appl
t0: [00:55:00 15/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.5 u1: % rs: Final st: NotStopd
t0: [01:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [01:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [01:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [01:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [01:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [01:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [01:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.12896 u1: kg x m st: NotStopd t0: [01:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [01:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.7968 u1: g * m st: NotStopd t0: [01:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: g*m/m2 st: NotStopd t0: [01:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 43 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [01:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 32.5 u1: ... st: NotStopd t0: [01:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1000 u1: ... st: NotStopd t0: [01:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1600 u1: ... st: NotStopd t0: [01:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52.381 u1: ml st: NotStopd t0: [01:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [01:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [01:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [01:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [01:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd t0: [01:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd
t0: [01:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [01:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [01:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 11.7 vu: ml t0: [01:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [01:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [01:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml t0: [01:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [01:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:26:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [01:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 2 To pain st: NotStopd t0: [01:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [01:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [01:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [01:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [01:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [01:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [01:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [01:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [01:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [01:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [01:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [02:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [02:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [02:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [02:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [02:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [02:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [02:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [02:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [02:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [02:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.43904 u1: kg x m st: NotStopd t0: [02:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [02:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.6128 u1: g * m st: NotStopd t0: [02:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.25 u1: g*m/m2 st: NotStopd t0: [02:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [02:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [02:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [02:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [02:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [02:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [02:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [02:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 35.625 u1: ... st: NotStopd t0: [02:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 847.059 u1: ... st: NotStopd t0: [02:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1354.23 u1: ... st: NotStopd t0: [02:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 57.3034 u1: ml st: NotStopd t0: [02:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [02:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [02:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [02:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [02:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.1 u1: L/min st: NotStopd t0: [02:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 49 u1: mmHg st: NotStopd
t0: [02:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [02:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [02:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [02:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [02:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [02:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [02:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [02:00:00 15/07/2016] tf: [03:00:00 15/07/2016] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [02:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 25/07/2016] pt: Unit Dose rt: IV DRIP fr: INFUSION m1: Propofol (Generic) v1: 1000 u1: mg
t0: [03:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.125 u1: ... st: NotStopd t0: [03:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [03:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [03:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 8 u1: points st: NotStopd t0: [03:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [03:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [03:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.284 u1: kg x m st: NotStopd t0: [03:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [03:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [03:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [03:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 45.4104 u1: g * m st: NotStopd t0: [03:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.125 u1: g*m/m2 st: NotStopd t0: [03:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [03:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [03:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [03:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [03:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [03:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [03:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [03:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 848 u1: ... st: NotStopd t0: [03:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1354.63 u1: ... st: NotStopd t0: [03:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52.6316 u1: ml st: NotStopd t0: [03:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 69 u1: % st: NotStopd t0: [03:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [03:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [03:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [03:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5 u1: L/min st: NotStopd t0: [03:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 48 u1: mmHg st: NotStopd
t0: [03:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [03:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [03:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [03:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [03:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [03:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [03:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [03:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:18:00 15/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [03:18:00 15/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.32 rs: Final st: NotStopd
t0: [04:00:00 15/07/2016] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [04:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3 u1: ... st: NotStopd t0: [04:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [04:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [04:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [04:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [04:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.17792 u1: kg x m st: NotStopd t0: [04:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [04:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 44.3904 u1: g * m st: NotStopd t0: [04:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 27.5 u1: g*m/m2 st: NotStopd t0: [04:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [04:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [04:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [04:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: ... st: NotStopd t0: [04:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 866.667 u1: ... st: NotStopd t0: [04:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1386.67 u1: ... st: NotStopd t0: [04:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 50.5263 u1: ml st: NotStopd t0: [04:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 72 u1: % st: NotStopd t0: [04:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [04:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [04:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [04:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.8 u1: L/min st: NotStopd t0: [04:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 49 u1: mmHg st: NotStopd
t0: [04:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [04:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [04:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [04:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [04:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [04:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:45:00 15/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd
t0: [03:45:00 15/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32 u1: % rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.3 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd
t0: [03:45:00 15/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 32.8 rs: Final st: NotStopd
t0: [03:45:00 15/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 445 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 661 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10.3 u1: mg/dl rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 890 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.1 u1: mEq/L rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [03:45:00 15/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [20:00:00 14/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [01:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [02:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [04:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [04:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [04:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 15/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [04:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 15/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Commun Barrier st: NotStopd t0: [04:00:00 15/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [04:00:00 15/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [04:00:00 15/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Understands st: NotStopd t0: [04:00:00 15/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [04:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 15/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [04:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: Reverse T-Berg st: NotStopd t0: [04:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [04:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 15/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 15/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [04:00:00 15/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Antecub v2: 14 gauge st: NotStopd t0: [04:00:00 15/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [04:00:00 15/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Antecub v2: 14 gauge st: NotStopd t0: [04:00:00 15/07/2016] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [04:00:00 15/07/2016] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 25 st: NotStopd t0: [04:00:00 15/07/2016] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 15/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: Ecchymotic st: NotStopd t0: [04:00:00 15/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [04:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [04:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 15/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [04:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [04:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd t0: [04:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [04:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 15/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [04:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Sanguinous st: NotStopd t0: [04:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [04:30:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CCU st: NotStopd t0: [04:30:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [04:30:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.9375 u1: ... st: NotStopd t0: [04:30:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:30:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:30:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [04:30:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [04:30:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [04:30:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [04:30:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [04:30:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.77128 u1: kg x m st: NotStopd t0: [04:30:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [04:30:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 42.5272 u1: g * m st: NotStopd t0: [04:30:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.875 u1: g*m/m2 st: NotStopd t0: [04:30:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [04:30:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [04:30:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [04:30:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:30:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [04:30:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [04:30:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 834.043 u1: ... st: NotStopd t0: [04:30:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1333.33 u1: ... st: NotStopd t0: [04:30:00 15/07/2016] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Fluid Bolus st: NotStopd t0: [04:30:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [04:30:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52.809 u1: ml st: NotStopd t0: [04:30:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 69 u1: % st: NotStopd t0: [04:30:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [04:30:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [04:30:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [04:30:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:30:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.7 u1: L/min st: NotStopd t0: [04:30:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 43 u1: mmHg st: NotStopd
t0: [04:00:00 15/07/2016] tf: [05:00:00 15/07/2016] dt: 60 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [04:00:00 15/07/2016] tf: [05:00:00 15/07/2016] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [04:30:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:30:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:51:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [04:51:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:51:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 8 u1: decFrc st: NotStopd t0: [04:51:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [04:51:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:51:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [04:51:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:51:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [04:51:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3 st: NotStopd t0: [04:51:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.7 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:51:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [04:51:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [04:51:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [04:51:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:51:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:51:00 15/07/2016] id: Remote Alarm el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:51:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:51:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:51:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:51:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:51:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:51:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 527 u1: ml/B st: NotStopd t0: [04:51:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:51:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:51:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:51:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd t0: [04:51:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
id: Lactated Ringers el: 2 cu: CSRU cg: -1 io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [04:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [04:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 15/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 v1: Blanket v2: On st: NotStopd t0: [05:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.5 u1: ... st: NotStopd t0: [05:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [05:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [05:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [05:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 6.0928 u1: kg x m st: NotStopd t0: [05:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.8125 u1: ... st: NotStopd t0: [05:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 67.456 u1: g * m st: NotStopd t0: [05:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 41.875 u1: g*m/m2 st: NotStopd t0: [05:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [05:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 38.75 u1: ... st: NotStopd t0: [05:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 971.429 u1: ... st: NotStopd t0: [05:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1554.29 u1: ... st: NotStopd t0: [05:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 61.5385 u1: ml st: NotStopd t0: [05:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 74 u1: % st: NotStopd t0: [05:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [05:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [05:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [05:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.6 u1: L/min st: NotStopd t0: [05:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd
t0: [05:00:00 15/07/2016] tf: [08:00:00 15/07/2016] dt: 180 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [05:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 500 vu: ml t0: [05:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [05:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [05:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [05:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [05:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml t0: [05:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [05:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:45:00 15/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 86 rs: Final st: NotStopd
t0: [04:00:00 15/07/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [04:00:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:00:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:00:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [04:00:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:00:00 15/07/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [05:00:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:00:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [05:00:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [05:00:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [05:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [05:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [05:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [05:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [05:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [05:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [05:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [05:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [06:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [06:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.25 u1: ... st: NotStopd t0: [06:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [06:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [06:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [06:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [06:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [06:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [06:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.31392 u1: kg x m st: NotStopd t0: [06:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [06:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [06:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [06:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.1168 u1: g * m st: NotStopd t0: [06:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [06:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [06:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [06:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [06:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [06:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [06:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [06:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [06:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [06:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [06:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [06:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [06:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [06:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 36.25 u1: ... st: NotStopd t0: [06:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 738.462 u1: ... st: NotStopd t0: [06:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1181.54 u1: ... st: NotStopd t0: [06:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 58.427 u1: ml st: NotStopd t0: [06:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 71 u1: % st: NotStopd t0: [06:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [06:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.7 u1: Deg. C st: NotStopd t0: [06:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.86 u1: Deg. F st: NotStopd t0: [06:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.2 u1: L/min st: NotStopd t0: [06:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 49 u1: mmHg st: NotStopd
t0: [06:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [06:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [06:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [06:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [06:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [06:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml t0: [06:00:00 15/07/2016] tf: [07:00:00 15/07/2016] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [06:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [07:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [07:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [07:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: 1st Deg AV Block st: NotStopd t0: [07:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [07:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.30032 u1: kg x m st: NotStopd t0: [07:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [07:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.9056 u1: g * m st: NotStopd t0: [07:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: g*m/m2 st: NotStopd t0: [07:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [07:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [07:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 36.25 u1: ... st: NotStopd t0: [07:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 847.059 u1: ... st: NotStopd t0: [07:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1354.23 u1: ... st: NotStopd t0: [07:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 57.9545 u1: ml st: NotStopd t0: [07:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 74 u1: % st: NotStopd t0: [07:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [07:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [07:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [07:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.1 u1: L/min st: NotStopd t0: [07:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 47 u1: mmHg st: NotStopd
t0: [05:00:00 15/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [06:00:00 15/07/2016] tf: [06:00:00 17/07/2016] dt: 2880 id: Gastric Oral Gastric el: 1 cu: CSRU cg: -1 vo: 300 vu: ml t0: [07:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 100 vu: ml t0: [07:00:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [07:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5.85 vu: ml t0: [07:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 6.24 vu: ml t0: [07:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [07:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [07:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [07:00:00 15/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:01:00 15/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [07:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [07:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [07:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [07:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [07:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [07:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [07:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [07:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd
id: KCL el: 100 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [08:00:00 15/07/2016] id: Remote Alarm el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 0 st: D/C'd t0: [08:00:00 15/07/2016] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [08:00:00 15/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [08:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [08:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 15/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [08:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 15/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [08:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [08:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 15/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 15/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [08:00:00 15/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 15/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [08:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: Ecchymotic st: NotStopd t0: [08:00:00 15/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [08:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.34656 u1: kg x m st: NotStopd t0: [08:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [08:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.24 u1: g * m st: NotStopd t0: [08:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.75 u1: g*m/m2 st: NotStopd t0: [08:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [08:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [08:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [08:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.25 u1: ... st: NotStopd t0: [08:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1038.3 u1: ... st: NotStopd t0: [08:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1659.86 u1: ... st: NotStopd t0: [08:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50 u1: ml st: NotStopd t0: [08:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [08:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [08:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [08:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 15/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 15/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd t0: [08:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [08:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [08:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 100 vu: ml t0: [08:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [08:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [08:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [08:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [08:00:00 15/07/2016] tf: [22:00:00 15/07/2016] dt: 840 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [08:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:28:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [08:28:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [08:28:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [08:28:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [08:28:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:28:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [08:28:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [08:28:00 15/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:28:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [08:28:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:28:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [08:28:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [08:28:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [08:28:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [08:28:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:28:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:28:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:28:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:28:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:28:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:28:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 94 u1: % st: NotStopd t0: [08:28:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 536 u1: ml/B st: NotStopd t0: [08:28:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:28:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:28:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [08:28:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [08:28:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [08:28:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [08:28:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [08:28:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [08:28:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [08:28:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd
t0: [08:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [08:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [09:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [09:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [09:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [09:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [09:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [09:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.2432 u1: kg x m st: NotStopd t0: [09:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [09:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.084 u1: g * m st: NotStopd t0: [09:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.125 u1: g*m/m2 st: NotStopd t0: [09:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [09:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [09:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [09:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [09:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [09:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [09:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 966.667 u1: ... st: NotStopd t0: [09:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1546.67 u1: ... st: NotStopd t0: [09:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.0638 u1: ml st: NotStopd t0: [09:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [09:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [09:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [09:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd t0: [09:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd
t0: [09:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [09:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [09:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [09:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [09:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd
t0: [09:12:00 15/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [09:12:00 15/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd
t0: [09:12:00 15/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [10:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [10:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [10:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [10:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [10:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.1004 u1: kg x m st: NotStopd t0: [10:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [10:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.8264 u1: g * m st: NotStopd t0: [10:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [10:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [10:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [10:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 15/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [10:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [10:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [10:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [10:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1013.33 u1: ... st: NotStopd t0: [10:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1622.78 u1: ... st: NotStopd t0: [10:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.875 u1: ml st: NotStopd t0: [10:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [10:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [10:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [10:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [10:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd
t0: [10:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [10:00:00 15/07/2016] tf: [15:27:00 17/08/2016] dt: 47847 id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [10:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [10:00:00 15/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [10:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [10:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [10:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 15/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [11:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [11:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/07/2016] id: IV #1 Reason DC'D el: 0 cu: CSRU cg: RN v1: Routine Change st: NotStopd t0: [11:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [11:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [11:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [11:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [11:00:00 15/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [11:00:00 15/07/2016] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [11:00:00 15/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [11:00:00 15/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Antecub v2: 14 gauge st: NotStopd t0: [11:00:00 15/07/2016] id: IV #2 D/C Date el: 0 cu: CSRU cg: RN st: NotStopd t0: [11:00:00 15/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [11:00:00 15/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: Left Antecub v2: 14 gauge st: NotStopd t0: [11:00:00 15/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: Ecchymotic st: NotStopd t0: [11:00:00 15/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [11:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.93176 u1: kg x m st: NotStopd t0: [11:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [11:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.7248 u1: g * m st: NotStopd t0: [11:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.25 u1: g*m/m2 st: NotStopd t0: [11:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [11:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [11:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [11:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [11:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [11:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [11:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1281.05 u1: ... st: NotStopd t0: [11:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.5789 u1: ml st: NotStopd t0: [11:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [11:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [11:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [11:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd t0: [11:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd
t0: [11:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [11:00:00 15/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [11:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [11:00:00 15/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 244 vu: ml t0: [11:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [11:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Lasix el: 100 cu: CSRU cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions am: 100 du: mghr rt: IV Drip
tf: [17:00:00 15/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 10 u1: mg tf: [12:00:00 16/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Furosemide v1: 100 u1: mg m2: D5W v2: 50 u2: ml tf: [08:00:00 28/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml
id: D5W el: 1 cu: CSRU cg: RN io: D5W 50.0ml + 100mghr Lasix IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [11:01:00 15/07/2016] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:01:00 15/07/2016] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:01:00 15/07/2016] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:01:00 15/07/2016] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:15:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:15:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:15:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [11:15:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:15:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:15:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [11:15:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:15:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.10272 u1: kg x m st: NotStopd t0: [11:15:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [11:15:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.7608 u1: g * m st: NotStopd t0: [11:15:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [11:15:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:15:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [11:15:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:15:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:15:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [11:15:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [11:15:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 871.429 u1: ... st: NotStopd t0: [11:15:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1394.29 u1: ... st: NotStopd t0: [11:15:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:15:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.9474 u1: ml st: NotStopd t0: [11:15:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [11:15:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:15:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [11:15:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [11:15:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:15:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [11:15:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd
t0: [11:15:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [11:15:00 15/07/2016] tf: [15:27:00 17/08/2016] dt: 47772 id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:15:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:15:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [09:00:00 15/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: XRAY st: NotStopd t0: [10:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [11:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [12:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [12:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Dark Red Blood st: NotStopd t0: [12:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [12:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [12:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [12:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.712 u1: kg x m st: NotStopd t0: [12:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [12:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.16 u1: g * m st: NotStopd t0: [12:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.875 u1: g*m/m2 st: NotStopd t0: [12:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [12:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [12:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [12:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [12:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [12:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 942.857 u1: ... st: NotStopd t0: [12:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1508.57 u1: ... st: NotStopd t0: [12:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.732 u1: ml st: NotStopd t0: [12:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [12:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [12:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [12:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 15/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [12:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [12:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [12:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [12:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [12:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [12:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [12:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [12:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:31:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [12:31:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [12:31:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [12:31:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [12:31:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:31:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [12:31:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [12:31:00 15/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [12:31:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [12:31:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [12:31:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [12:31:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [12:31:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [12:31:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [12:31:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [12:31:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:31:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [12:31:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [12:31:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:31:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:31:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [12:31:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [12:31:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:31:00 15/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 282 u1: ml/B st: NotStopd t0: [12:31:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:31:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:31:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [12:31:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [13:00:00 15/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [13:00:00 15/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [13:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [13:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: 1st Deg AV Block st: NotStopd t0: [13:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.54448 u1: kg x m st: NotStopd t0: [13:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.9375 u1: ... st: NotStopd t0: [13:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 97.0904 u1: g * m st: NotStopd t0: [13:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 60.625 u1: g*m/m2 st: NotStopd t0: [13:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 119 u2: mmHg st: NotStopd t0: [13:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [13:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [13:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1558.62 u1: ... st: NotStopd t0: [13:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2490.36 u1: ... st: NotStopd t0: [13:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.5859 u1: ml st: NotStopd t0: [13:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [13:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [13:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [13:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [13:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd
t0: [12:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [13:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [13:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [13:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [13:00:00 15/07/2016] tf: [09:00:00 16/07/2016] dt: 1200 id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4.375 vu: ml t0: [13:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [13:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 15/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [09:00:00 15/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [10:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [13:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [13:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [13:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [13:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [13:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 15/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [13:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [13:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [13:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Plug st: NotStopd t0: [13:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [14:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [14:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [14:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [14:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/07/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [14:00:00 15/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [14:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Moderate st: NotStopd t0: [14:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [14:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.40736 u1: kg x m st: NotStopd t0: [14:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [14:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.1424 u1: g * m st: NotStopd t0: [14:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [14:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [14:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [14:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [14:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [14:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [14:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 942.857 u1: ... st: NotStopd t0: [14:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1508.57 u1: ... st: NotStopd t0: [14:00:00 15/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 15/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [14:00:00 15/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [14:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.3689 u1: ml st: NotStopd t0: [14:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [14:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [14:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [14:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [14:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd
t0: [09:00:00 15/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [14:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [14:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [14:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [14:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.5 vu: ml t0: [14:00:00 15/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [14:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [14:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:32:00 15/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.6 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.3 u1: % rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.5 u1: gm/dl rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.67 u1: /mic l rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.6 rs: Final st: NotStopd
t0: [14:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:32:00 15/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [13:32:00 15/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd
t0: [13:32:00 15/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.5 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd
t0: [15:00:00 15/07/2016] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [15:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [15:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [15:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.2224 u1: kg x m st: NotStopd t0: [15:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [15:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.6128 u1: g * m st: NotStopd t0: [15:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [15:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [15:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [15:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 746.667 u1: ... st: NotStopd t0: [15:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1194.67 u1: ... st: NotStopd t0: [15:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.6038 u1: ml st: NotStopd t0: [15:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [15:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [15:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [15:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [15:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd
t0: [14:00:00 15/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [15:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [15:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [15:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [15:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.5 vu: ml t0: [15:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [15:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [15:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [15:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [15:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [15:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [15:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [15:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [13:32:00 15/07/2016] id: Differential-Bands Hematology el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [13:32:00 15/07/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 89 rs: Final st: NotStopd
t0: [16:00:00 15/07/2016] id: IV #1 Reason DC'D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 15/07/2016] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 15/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 15/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 15/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 15/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 15/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 15/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [16:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [16:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 15/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [16:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [16:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [16:00:00 15/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [16:00:00 15/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 15/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.47536 u1: kg x m st: NotStopd t0: [16:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [16:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.2656 u1: g * m st: NotStopd t0: [16:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [16:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [16:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [16:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [16:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [16:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 773.77 u1: ... st: NotStopd t0: [16:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1238.85 u1: ... st: NotStopd t0: [16:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4815 u1: ml st: NotStopd t0: [16:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [16:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [16:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [16:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [16:00:00 15/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 15/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [16:00:00 15/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [16:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [16:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [16:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [16:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [16:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [16:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [16:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [16:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [16:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [17:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.3125 u1: ... st: NotStopd t0: [17:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [17:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [17:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [17:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [17:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.39688 u1: kg x m st: NotStopd t0: [17:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [17:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 40.6504 u1: g * m st: NotStopd t0: [17:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.625 u1: g*m/m2 st: NotStopd t0: [17:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [17:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [17:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [17:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [17:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [17:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [17:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [17:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [17:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1280.97 u1: ... st: NotStopd t0: [17:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.0741 u1: ml st: NotStopd t0: [17:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [17:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.2 u1: Deg. C st: NotStopd t0: [17:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.56 u1: Deg. F st: NotStopd t0: [17:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.3 u1: L/min st: NotStopd t0: [17:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd
t0: [17:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [17:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [17:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [17:00:00 15/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 264 vu: ml t0: [17:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [17:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [17:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/07/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 508 ap: none
t0: [17:09:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd
tf: [10:00:00 17/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 18 dn: 1 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml
t0: [17:09:00 15/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [18:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [18:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [18:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.896 u1: kg x m st: NotStopd t0: [18:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [18:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 47.328 u1: g * m st: NotStopd t0: [18:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.375 u1: g*m/m2 st: NotStopd t0: [18:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [18:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [18:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [18:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 640 u1: ... st: NotStopd t0: [18:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1024 u1: ... st: NotStopd t0: [18:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.6923 u1: ml st: NotStopd t0: [18:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [18:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [18:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [18:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [18:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg st: NotStopd
t0: [17:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 250 vu: ml t0: [17:00:00 15/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [18:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [18:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [18:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [18:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [18:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [18:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [18:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [18:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [18:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [18:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [18:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [18:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [18:00:00 15/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [18:00:00 15/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:00:00 15/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [18:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [18:00:00 15/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [18:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [19:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [19:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [19:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [19:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [19:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [19:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [19:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.65488 u1: kg x m st: NotStopd t0: [19:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [19:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [19:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [19:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.7536 u1: g * m st: NotStopd t0: [19:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.375 u1: g*m/m2 st: NotStopd t0: [19:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [19:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [19:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [19:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [19:00:00 15/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [19:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [19:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [19:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [19:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [19:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [19:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 673.016 u1: ... st: NotStopd t0: [19:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1076.14 u1: ... st: NotStopd t0: [19:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.165 u1: ml st: NotStopd t0: [19:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [19:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [19:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [19:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [19:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd t0: [19:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd
t0: [19:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [19:00:00 15/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [19:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [19:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [19:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [19:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 15/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Blood Cultured st: NotStopd t0: [13:05:00 15/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Urine Culture st: NotStopd t0: [13:10:00 15/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Sputum Cx st: NotStopd t0: [13:15:00 15/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Blood Cultured st: NotStopd
t0: [19:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 18/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Acetaminophen v1: 325-650 u1: mg
t0: [20:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [20:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [20:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 15/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [20:00:00 15/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [20:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 15/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 15/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.57056 u1: kg x m st: NotStopd t0: [20:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [20:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.224 u1: g * m st: NotStopd t0: [20:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [20:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [20:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [20:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 15/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [20:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [20:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 675 u1: ... st: NotStopd t0: [20:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1080 u1: ... st: NotStopd t0: [20:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.3774 u1: ml st: NotStopd t0: [20:00:00 15/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [20:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.2 u1: Deg. C st: NotStopd t0: [20:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.56 u1: Deg. F st: NotStopd t0: [20:00:00 15/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 15/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 15/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [20:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [20:00:00 15/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 15/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [20:00:00 15/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 15/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [20:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [20:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [20:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [20:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml t0: [20:00:00 15/07/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [20:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.027 u1: ml/cmH st: NotStopd t0: [20:00:00 15/07/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:00:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:00:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [20:00:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [20:00:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [20:00:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Double Lumen ETT st: NotStopd t0: [20:00:00 15/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [20:00:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.8 u1: L/min st: NotStopd t0: [20:00:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [20:00:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23.5 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 15.3 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 32 u1: BPM st: NotStopd t0: [20:00:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 15/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [20:00:00 15/07/2016] id: Total PEEP Level el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 15/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [20:00:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [23:00:00 15/07/2016] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RRT cv: 400 ap: none
t0: [21:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [21:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [21:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [21:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.896 u1: kg x m st: NotStopd t0: [21:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [21:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.88 u1: g * m st: NotStopd t0: [21:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.125 u1: g*m/m2 st: NotStopd t0: [21:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [21:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [21:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [21:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 706.667 u1: ... st: NotStopd t0: [21:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1130.67 u1: ... st: NotStopd t0: [21:00:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.0459 u1: ml st: NotStopd t0: [21:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [21:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.2 u1: Deg. C st: NotStopd t0: [21:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.56 u1: Deg. F st: NotStopd t0: [21:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [21:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg st: NotStopd
t0: [21:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [21:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [21:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [21:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [21:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [21:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 15/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 15/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 15/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 15/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Loose st: NotStopd
t0: [21:00:00 15/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 15/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small
t0: [22:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [22:00:00 15/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 15/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 15/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [22:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 15/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 15/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 15/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.19384 u1: kg x m st: NotStopd t0: [22:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [22:00:00 15/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 15/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.2936 u1: g * m st: NotStopd t0: [22:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30 u1: g*m/m2 st: NotStopd t0: [22:00:00 15/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 15/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 15/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [22:00:00 15/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [22:00:00 15/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 15/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [22:00:00 15/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 15/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 15/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [22:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 814.035 u1: ... st: NotStopd t0: [22:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1303.37 u1: ... st: NotStopd t0: [22:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.7778 u1: ml st: NotStopd t0: [22:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [22:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [22:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [22:00:00 15/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd t0: [22:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [22:00:00 15/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [22:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [22:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [22:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [22:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [22:00:00 15/07/2016] tf: [02:00:00 16/07/2016] dt: 240 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [22:00:00 15/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [22:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [22:00:00 15/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [22:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward t0: [23:00:00 15/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 350 ap: none
t0: [20:00:00 15/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [22:00:00 15/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 15/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 15/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [22:00:00 15/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 15/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [22:00:00 15/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 15/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 15/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 15/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 15/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 15/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 15/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [22:00:00 15/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [23:00:00 15/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 15/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 15/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [23:00:00 15/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:00:00 15/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 15/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 15/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 15/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 15/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.8144 u1: kg x m st: NotStopd t0: [23:00:00 15/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [23:00:00 15/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.064 u1: g * m st: NotStopd t0: [23:00:00 15/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [23:00:00 15/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 15/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [23:00:00 15/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [23:00:00 15/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:00:00 15/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [23:00:00 15/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 691.525 u1: ... st: NotStopd t0: [23:00:00 15/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1105.69 u1: ... st: NotStopd t0: [23:00:00 15/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.1284 u1: ml st: NotStopd t0: [23:00:00 15/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [23:00:00 15/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 15/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [23:00:00 15/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [23:00:00 15/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 15/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [23:00:00 15/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd
t0: [23:00:00 15/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [23:00:00 15/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [23:00:00 15/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [23:00:00 15/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [23:00:00 15/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 15/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 15/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 15/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 15/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 15/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 140 cv: 4270 ap: none t0: [23:00:00 15/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 140 cv: 5020 ap: carryForward
t0: [23:02:00 15/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [23:02:00 15/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [23:40:00 15/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: rrt v1: 33.1126 u1: ml/cmH st: NotStopd t0: [23:40:00 15/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: rrt v1: 21cm v2: Lip st: NotStopd t0: [23:40:00 15/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: rrt v1: 60 u1: decFrc st: NotStopd t0: [23:40:00 15/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: rrt v1: 40 u1: decFrc st: NotStopd t0: [23:40:00 15/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: rrt v1: 0.5 u1: torr st: NotStopd t0: [23:40:00 15/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: rrt v1: 33% st: NotStopd t0: [23:40:00 15/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [23:40:00 15/07/2016] id: Airway Size el: 0 cu: CSRU cg: rrt v1: Other/Remarks st: NotStopd t0: [23:40:00 15/07/2016] id: Airway Type el: 0 cu: CSRU cg: rrt v1: Double Lumen ETT st: NotStopd t0: [23:40:00 15/07/2016] id: Intubation Date el: 0 cu: CSRU cg: rrt v1: 6 v2: 26 st: NotStopd t0: [23:40:00 15/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: rrt v1: 5 st: NotStopd t0: [23:40:00 15/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: rrt v1: 7.9 u1: cmH2O st: NotStopd t0: [23:40:00 15/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: rrt v1: 10 u1: L/min st: NotStopd t0: [23:40:00 15/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: rrt v1: 9.2 u1: L/min st: NotStopd t0: [23:40:00 15/07/2016] id: PEEP Set el: 0 cu: CSRU cg: rrt v1: 5 u1: cmH2O st: NotStopd t0: [23:40:00 15/07/2016] id: Pause Time % el: 0 cu: CSRU cg: rrt v1: 0% st: NotStopd t0: [23:40:00 15/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: rrt v1: 30.303 u1: lpm st: NotStopd t0: [23:40:00 15/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: rrt v1: 20.1 u1: cmH2O st: NotStopd t0: [23:40:00 15/07/2016] id: Pressure Support el: 0 cu: CSRU cg: rrt v1: 5 u1: . st: NotStopd t0: [23:40:00 15/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: rrt v1: 7 u1: BPM st: NotStopd t0: [23:40:00 15/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: rrt v1: 21 u1: BPM st: NotStopd t0: [23:40:00 15/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: rrt v1: 14 u1: BPM st: NotStopd t0: [23:40:00 15/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [23:40:00 15/07/2016] id: SpO2 el: 0 cu: CSRU cg: rrt v1: 99 u1: % st: NotStopd t0: [23:40:00 15/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: rrt v1: 501 u1: ml/B st: NotStopd t0: [23:40:00 15/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: rrt v1: 500 u1: ml/B st: NotStopd t0: [23:40:00 15/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: rrt v1: 340 u1: ml/B st: NotStopd t0: [23:40:00 15/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: rrt v1: SIMV+PS st: NotStopd t0: [23:40:00 15/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: rrt v1: 8 u1: # st: NotStopd t0: [23:40:00 15/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: rrt v1: Servo 900c st: NotStopd t0: [23:40:00 15/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: rrt v1: SQUARE st: NotStopd t0: [23:40:00 15/07/2016] id: Working Pressure el: 0 cu: CSRU cg: rrt v1: 70 u1: cmH2O st: NotStopd
t0: [23:00:00 15/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 15/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -62.12 cv: -62.12 ap: none t0: [23:00:00 15/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 77.88 cv: 2853.65 ap: none t0: [23:00:00 15/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 77.88 cv: 3361.65 ap: none t0: [23:00:00 15/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -62.12 cv: -1658.35 ap: carryForward t0: [23:00:00 15/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -62.12 cv: 3161.99 ap: carryForward
t0: [20:00:00 15/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 16/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [00:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 16/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [00:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 16/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [00:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 16/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.89464 u1: kg x m st: NotStopd t0: [00:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [00:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.144 u1: g * m st: NotStopd t0: [00:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30 u1: g*m/m2 st: NotStopd t0: [00:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [00:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [00:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 16/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 16/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [00:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 16/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 16/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [00:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 642.623 u1: ... st: NotStopd t0: [00:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1028.87 u1: ... st: NotStopd t0: [00:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.8039 u1: ml st: NotStopd t0: [00:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [00:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [00:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [00:00:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [00:00:00 16/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [00:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [00:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [00:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [00:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [00:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [00:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [00:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [00:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 16/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 16/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 16/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [01:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [01:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.70016 u1: kg x m st: NotStopd t0: [01:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [01:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.2608 u1: g * m st: NotStopd t0: [01:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.125 u1: g*m/m2 st: NotStopd t0: [01:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [01:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [01:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [01:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1278.11 u1: ... st: NotStopd t0: [01:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.4272 u1: ml st: NotStopd t0: [01:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [01:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [01:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [01:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [01:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd
t0: [01:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [01:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [01:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [01:00:00 16/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 328 vu: ml t0: [01:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [01:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [01:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/07/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 971 ap: none
t0: [23:00:00 15/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [23:00:00 15/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [23:00:00 15/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [02:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [02:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.39648 u1: kg x m st: NotStopd t0: [02:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [02:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.808 u1: g * m st: NotStopd t0: [02:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.375 u1: g*m/m2 st: NotStopd t0: [02:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [02:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [02:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [02:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.625 u1: ... st: NotStopd t0: [02:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 675 u1: ... st: NotStopd t0: [02:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1080 u1: ... st: NotStopd t0: [02:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.3061 u1: ml st: NotStopd t0: [02:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [02:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [02:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [02:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [02:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [02:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [02:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [02:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [02:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [02:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [02:00:00 16/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [02:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 175 vu: ml t0: [02:00:00 16/07/2016] tf: [08:00:00 18/07/2016] dt: 3240 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [02:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 16/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 268 vu: ml
t0: [03:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [03:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [03:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.6848 u1: kg x m st: NotStopd t0: [03:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [03:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 62.016 u1: g * m st: NotStopd t0: [03:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.75 u1: g*m/m2 st: NotStopd t0: [03:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [03:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [03:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [03:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 945.455 u1: ... st: NotStopd t0: [03:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1511.63 u1: ... st: NotStopd t0: [03:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.7826 u1: ml st: NotStopd t0: [03:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [03:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [03:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [03:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [03:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd
t0: [03:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [03:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [03:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [03:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [03:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 375 vu: ml
t0: [03:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [03:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 16/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 16/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [04:00:00 16/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [04:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 16/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [04:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [04:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 16/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 16/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.8752 u1: kg x m st: NotStopd t0: [04:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [04:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.648 u1: g * m st: NotStopd t0: [04:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [04:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [04:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [04:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [04:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 16/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 16/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.625 u1: ... st: NotStopd t0: [04:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 840 u1: ... st: NotStopd t0: [04:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1344 u1: ... st: NotStopd t0: [04:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.5161 u1: ml st: NotStopd t0: [04:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [04:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [04:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [04:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [04:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [04:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [04:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [04:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [04:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [04:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [04:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [04:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:09:00 16/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [04:09:00 16/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [04:13:00 16/07/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 39 rs: Final st: NotStopd t0: [04:13:00 16/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 73 rs: Final st: NotStopd
t0: [04:30:00 16/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.9401 u1: ml/cmH st: NotStopd t0: [04:30:00 16/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 125 u1: units st: NotStopd t0: [04:30:00 16/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [04:30:00 16/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [04:30:00 16/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [04:30:00 16/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:30:00 16/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [04:30:00 16/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [04:30:00 16/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Double Lumen ETT st: NotStopd t0: [04:30:00 16/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:30:00 16/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [04:30:00 16/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [04:30:00 16/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:30:00 16/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [04:30:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [04:30:00 16/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [04:30:00 16/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21.7 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16.7 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:30:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:30:00 16/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 125 u1: units st: NotStopd t0: [04:30:00 16/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:30:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:30:00 16/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:30:00 16/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 16/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:30:00 16/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.24 u1: L st: NotStopd t0: [04:30:00 16/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 16/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [04:30:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:30:00 16/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [04:30:00 16/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:30:00 16/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [04:30:00 16/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [04:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.4375 u1: ... st: NotStopd t0: [05:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [05:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.62824 u1: kg x m st: NotStopd t0: [05:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.75 u1: ... st: NotStopd t0: [05:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 81.6544 u1: g * m st: NotStopd t0: [05:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 51.25 u1: g*m/m2 st: NotStopd t0: [05:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [05:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 47.5 u1: ... st: NotStopd t0: [05:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [05:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1279.28 u1: ... st: NotStopd t0: [05:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 76.3441 u1: ml st: NotStopd t0: [05:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [05:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [05:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd t0: [05:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd
t0: [05:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [05:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [05:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [05:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [05:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [05:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:34:00 16/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 20.8 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.4 u1: % rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 99 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.04 u1: /mic l rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 20.8 rs: Final st: NotStopd
t0: [03:00:00 16/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.3125 u1: ... st: NotStopd t0: [06:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [06:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [06:00:00 16/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [06:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Reverse T-Berg st: NotStopd t0: [06:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [06:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 16/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.07024 u1: kg x m st: NotStopd t0: [06:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.0625 u1: ... st: NotStopd t0: [06:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 85.3808 u1: g * m st: NotStopd t0: [06:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 53.125 u1: g*m/m2 st: NotStopd t0: [06:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [06:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [06:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 16/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [06:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 45.625 u1: ... st: NotStopd t0: [06:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 892.754 u1: ... st: NotStopd t0: [06:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1429.23 u1: ... st: NotStopd t0: [06:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 72.6316 u1: ml st: NotStopd t0: [06:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [06:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [06:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [06:00:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [06:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 16/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.9 u1: L/min st: NotStopd t0: [06:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Sanguinous st: NotStopd t0: [06:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [06:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [06:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [06:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [06:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [06:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 16/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 16/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 16/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 16/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 16/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 16/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [04:00:00 16/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [05:34:00 16/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.9 rs: Final st: NotStopd
t0: [05:34:00 16/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [05:34:00 16/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd
t0: [07:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [07:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [07:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [07:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [07:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.86256 u1: kg x m st: NotStopd t0: [07:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.3125 u1: ... st: NotStopd t0: [07:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.8928 u1: g * m st: NotStopd t0: [07:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [07:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [07:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [07:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [07:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1075.86 u1: ... st: NotStopd t0: [07:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1719.01 u1: ... st: NotStopd t0: [07:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.2056 u1: ml st: NotStopd t0: [07:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 81 u1: % st: NotStopd t0: [07:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [07:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [07:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [07:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd
t0: [07:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [07:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [07:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [07:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1.5 vu: ml t0: [07:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 325 vu: ml
t0: [07:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 16/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [08:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [08:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [08:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.30184 u1: kg x m st: NotStopd t0: [08:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.5625 u1: ... st: NotStopd t0: [08:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [08:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [08:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [08:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [08:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [08:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1111.86 u1: ... st: NotStopd t0: [08:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1777.78 u1: ... st: NotStopd t0: [08:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.2041 u1: ml st: NotStopd t0: [08:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 81 u1: % st: NotStopd t0: [08:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [08:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:15:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:15:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [08:15:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:15:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [08:15:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:15:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:15:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:15:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:15:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:15:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 81 u1: % st: NotStopd t0: [08:15:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:15:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd
t0: [08:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [08:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [08:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [08:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml t0: [08:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 270 vu: ml
t0: [07:30:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:15:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:15:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:22:00 16/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 26.3158 u1: ml/cmH st: NotStopd t0: [08:22:00 16/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [08:22:00 16/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [08:22:00 16/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [08:22:00 16/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:22:00 16/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [08:22:00 16/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:22:00 16/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Double Lumen ETT st: NotStopd t0: [08:22:00 16/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [08:22:00 16/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:22:00 16/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [08:22:00 16/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [08:22:00 16/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.3 u1: L/min st: NotStopd t0: [08:22:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [08:22:00 16/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 v1: 30.303 u1: lpm st: NotStopd t0: [08:22:00 16/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:22:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [08:22:00 16/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 3 u1: BPM st: NotStopd t0: [08:22:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:22:00 16/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:22:00 16/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:22:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:22:00 16/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:22:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:22:00 16/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 310 u1: ml/B st: NotStopd t0: [08:22:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [08:22:00 16/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [08:22:00 16/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [08:22:00 16/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd t0: [08:22:00 16/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [08:15:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [08:30:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [08:00:00 16/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 16/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 16/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 16/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 16/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 16/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [08:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [08:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [08:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 16/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 16/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 16/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 16/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [08:00:00 16/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 16/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 16/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [09:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [09:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [09:00:00 16/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [09:00:00 16/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 16/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [09:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.4256 u1: kg x m st: NotStopd t0: [09:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.625 u1: ... st: NotStopd t0: [09:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 75.4936 u1: g * m st: NotStopd t0: [09:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.875 u1: g*m/m2 st: NotStopd t0: [09:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [09:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [09:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1093.33 u1: ... st: NotStopd t0: [09:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1749.33 u1: ... st: NotStopd t0: [09:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.6061 u1: ml st: NotStopd t0: [09:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 82 u1: % st: NotStopd t0: [09:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [09:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [09:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [09:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd
t0: [09:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [09:00:00 16/07/2016] tf: [17:00:00 19/07/2016] dt: 4800 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [09:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [09:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3.12 vu: ml t0: [09:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 16/07/2016] tf: [13:00:00 16/07/2016] dt: 240 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [09:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 255 vu: ml t0: [09:00:00 16/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [09:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [10:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.732 u1: kg x m st: NotStopd t0: [10:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.1875 u1: ... st: NotStopd t0: [10:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.872 u1: g * m st: NotStopd t0: [10:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [10:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [10:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [10:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1221.82 u1: ... st: NotStopd t0: [10:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1953.49 u1: ... st: NotStopd t0: [10:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.8846 u1: ml st: NotStopd t0: [10:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 81 u1: % st: NotStopd t0: [10:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [10:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [10:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [10:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd
t0: [10:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [10:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [10:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [10:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [10:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [10:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 215 vu: ml
t0: [10:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [08:30:00 16/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 16/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:30:00 16/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:30:00 16/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:30:00 16/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 16/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:30:00 16/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [09:00:00 16/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [09:00:00 16/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 16/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 16/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [09:00:00 16/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [10:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [10:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [10:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [10:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [10:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [10:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [10:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [10:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [10:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [10:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [10:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [10:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [10:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [10:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [10:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [11:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [11:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [11:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3924 u1: kg x m st: NotStopd t0: [11:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [11:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.808 u1: g * m st: NotStopd t0: [11:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.375 u1: g*m/m2 st: NotStopd t0: [11:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.75 u1: ... st: NotStopd t0: [11:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 786.885 u1: ... st: NotStopd t0: [11:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1259.84 u1: ... st: NotStopd t0: [11:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.2449 u1: ml st: NotStopd t0: [11:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 80 u1: % st: NotStopd t0: [11:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [11:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [11:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [11:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd
t0: [11:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [11:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [11:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [11:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [11:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [11:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 185 vu: ml
t0: [11:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 16/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 16.129 u1: ml/cmH st: NotStopd t0: [11:00:00 16/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [11:00:00 16/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [11:00:00 16/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [11:00:00 16/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 16/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [11:00:00 16/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 16/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Double Lumen ETT st: NotStopd t0: [11:00:00 16/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [11:00:00 16/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [11:00:00 16/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [11:00:00 16/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [11:00:00 16/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 6.7 u1: L/min st: NotStopd t0: [11:00:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [11:00:00 16/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 v1: 30.303 u1: lpm st: NotStopd t0: [11:00:00 16/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [11:00:00 16/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [11:00:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 16/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 16/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [11:00:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [11:00:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [11:00:00 16/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [11:00:00 16/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [11:00:00 16/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd t0: [11:00:00 16/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
tf: [11:00:00 16/07/2016] pt: Unit Dose rt: IT fr: Q24H fs: 12 dn: 1 m1: Morphine Sulfate v1: 1 u1: mg tf: [12:00:00 16/07/2016] pt: Unit Dose rt: IT fr: Q24H fs: 12 dn: 1 m1: Morphine Sulfate v1: 1 u1: mg tf: [10:00:00 20/07/2016] pt: Unit Dose rt: IT fr: Q24H fs: 12 dn: 1 m1: Morphine Sulfate v1: 0.5 u1: mg
t0: [12:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [12:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.31216 u1: kg x m st: NotStopd t0: [12:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3125 u1: ... st: NotStopd t0: [12:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.9784 u1: g * m st: NotStopd t0: [12:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [12:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [12:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [12:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 735.484 u1: ... st: NotStopd t0: [12:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1175.26 u1: ... st: NotStopd t0: [12:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.6263 u1: ml st: NotStopd t0: [12:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 79 u1: % st: NotStopd t0: [12:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [12:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [12:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [12:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:45:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:45:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [12:45:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [12:45:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:45:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [12:45:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:45:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:45:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [12:45:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:45:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd
t0: [10:00:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10 vu: ml t0: [12:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [12:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [12:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10.92 vu: ml t0: [12:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [12:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [12:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:45:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:45:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:45:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7.5 vu: ml t0: [12:45:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [12:46:00 16/07/2016] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [13:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [13:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.47536 u1: kg x m st: NotStopd t0: [13:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [13:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.856 u1: g * m st: NotStopd t0: [13:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [13:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [13:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [13:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [13:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 773.77 u1: ... st: NotStopd t0: [13:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1238.85 u1: ... st: NotStopd t0: [13:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.8039 u1: ml st: NotStopd t0: [13:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [13:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [13:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [13:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.1 u1: L/min st: NotStopd t0: [13:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd
t0: [13:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.3625 vu: ml t0: [13:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [13:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10.53 vu: ml t0: [13:00:00 16/07/2016] tf: [20:00:00 20/07/2016] dt: 6180 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.5 vu: ml t0: [13:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [13:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [13:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 16/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [13:45:00 16/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:45:00 16/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [14:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [14:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.33896 u1: kg x m st: NotStopd t0: [14:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [14:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.5384 u1: g * m st: NotStopd t0: [14:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [14:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [14:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [14:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 976.271 u1: ... st: NotStopd t0: [14:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1560.98 u1: ... st: NotStopd t0: [14:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.4583 u1: ml st: NotStopd t0: [14:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [14:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [14:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [14:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [14:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd
t0: [14:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [14:00:00 16/07/2016] tf: [20:00:00 18/07/2016] dt: 3240 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [14:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [14:00:00 16/07/2016] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 375 vu: ml nb: 1 t0: [14:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [14:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [14:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [11:00:00 16/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 16/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 16/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 16/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 16/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 16/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [12:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [12:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [12:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 16/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 16/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 16/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [12:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [13:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 16/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [13:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [13:00:00 16/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [13:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 16/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:00:00 16/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 16/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [14:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [14:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 16/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [14:00:00 16/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [14:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [14:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [14:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [14:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 16/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [14:00:00 16/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [14:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd
t0: [14:30:00 16/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 98 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [14:30:00 16/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.5973 u1: ml/dl st: NotStopd t0: [14:30:00 16/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 708 u1: ml/min st: NotStopd t0: [14:30:00 16/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 442.8 u1: ml/m/m st: NotStopd t0: [14:30:00 16/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 708 u1: ml/min st: NotStopd t0: [14:30:00 16/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 442.5 u1: ml/m/m st: NotStopd t0: [14:30:00 16/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 708 u1: ml/min st: NotStopd t0: [14:30:00 16/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 442.5 u1: ml/m/m st: NotStopd t0: [14:30:00 16/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.05 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [14:30:00 16/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [15:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [15:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [15:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.8204 u1: kg x m st: NotStopd t0: [15:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.25 u1: ... st: NotStopd t0: [15:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.828 u1: g * m st: NotStopd t0: [15:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.625 u1: g*m/m2 st: NotStopd t0: [15:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [15:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1057.63 u1: ... st: NotStopd t0: [15:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1691.06 u1: ... st: NotStopd t0: [15:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.4409 u1: ml st: NotStopd t0: [15:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [15:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [15:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [15:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [15:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd
t0: [13:00:00 16/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [15:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [15:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [15:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [15:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [15:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [15:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:15:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml t0: [15:15:00 16/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [16:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [16:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [16:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.7456 u1: kg x m st: NotStopd t0: [16:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.1875 u1: ... st: NotStopd t0: [16:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.896 u1: g * m st: NotStopd t0: [16:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.625 u1: g*m/m2 st: NotStopd t0: [16:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.875 u1: ... st: NotStopd t0: [16:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 877.419 u1: ... st: NotStopd t0: [16:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1402.06 u1: ... st: NotStopd t0: [16:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.3913 u1: ml st: NotStopd t0: [16:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [16:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [16:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [16:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [16:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd
t0: [16:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [16:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [16:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [16:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [16:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [16:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 16/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:30:00 16/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [16:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 16/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 16/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [16:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [16:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 16/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 16/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 22.7273 u1: ml/cmH st: NotStopd t0: [16:00:00 16/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [16:00:00 16/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [16:00:00 16/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [16:00:00 16/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 16/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [16:00:00 16/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 16/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Double Lumen ETT st: NotStopd t0: [16:00:00 16/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [16:00:00 16/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 16/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [16:00:00 16/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [16:00:00 16/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.4 u1: L/min st: NotStopd t0: [16:00:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [16:00:00 16/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 v1: 30.303 u1: lpm st: NotStopd t0: [16:00:00 16/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [16:00:00 16/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 16/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 16/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 16/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [16:00:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [16:00:00 16/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [16:00:00 16/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [16:00:00 16/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: SQUARE st: NotStopd t0: [16:00:00 16/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
tf: [11:00:00 20/07/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 17, 1, 9 dn: 3 m1: Piperacillin-Tazobactam Na v1: 2.25 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [17:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [17:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [17:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.83712 u1: kg x m st: NotStopd t0: [17:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [17:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.3712 u1: g * m st: NotStopd t0: [17:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [17:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [17:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [17:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 924.138 u1: ... st: NotStopd t0: [17:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1476.58 u1: ... st: NotStopd t0: [17:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58 u1: ml st: NotStopd t0: [17:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [17:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [17:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [17:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [17:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd
t0: [17:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [17:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [17:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [17:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [17:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [17:00:00 16/07/2016] tf: [08:00:00 17/07/2016] dt: 900 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [17:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 155 vu: ml t0: [17:00:00 16/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [17:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:10:00 16/07/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd
t0: [18:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [18:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [18:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.9976 u1: kg x m st: NotStopd t0: [18:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [18:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.072 u1: g * m st: NotStopd t0: [18:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [18:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [18:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [18:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 787.302 u1: ... st: NotStopd t0: [18:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1258.88 u1: ... st: NotStopd t0: [18:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.165 u1: ml st: NotStopd t0: [18:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [18:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [18:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [18:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd t0: [18:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd
t0: [17:00:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [18:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [18:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [18:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [18:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [18:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:45:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:45:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:45:00 16/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [18:45:00 16/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:45:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:45:00 16/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:45:00 16/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:45:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:45:00 16/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [13:00:00 16/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [18:45:00 16/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Small
t0: [23:00:00 16/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [19:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [19:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.1875 u1: ... st: NotStopd t0: [19:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [19:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [19:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [19:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [19:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.10736 u1: kg x m st: NotStopd t0: [19:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.4375 u1: ... st: NotStopd t0: [19:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.0128 u1: g * m st: NotStopd t0: [19:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.75 u1: g*m/m2 st: NotStopd t0: [19:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [19:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [19:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.25 u1: ... st: NotStopd t0: [19:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 859.701 u1: ... st: NotStopd t0: [19:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1374.7 u1: ... st: NotStopd t0: [19:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65.6863 u1: ml st: NotStopd t0: [19:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [19:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [19:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [19:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.7 u1: L/min st: NotStopd t0: [19:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd
t0: [19:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [19:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [19:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [19:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [19:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [19:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [20:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [20:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.26688 u1: kg x m st: NotStopd t0: [20:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [20:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.7104 u1: g * m st: NotStopd t0: [20:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [20:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [20:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.75 u1: ... st: NotStopd t0: [20:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 825 u1: ... st: NotStopd t0: [20:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1320 u1: ... st: NotStopd t0: [20:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.1359 u1: ml st: NotStopd t0: [20:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [20:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [20:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [20:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [20:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd
t0: [20:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [20:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [20:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7.8 vu: ml t0: [20:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [20:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [19:30:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:50:00 16/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd
t0: [20:46:00 16/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 19.9203 u1: ml/cmH st: NotStopd t0: [20:46:00 16/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [20:46:00 16/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 65 u1: decFrc st: NotStopd t0: [20:46:00 16/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [20:46:00 16/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:46:00 16/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: RRT v1: 33% st: NotStopd t0: [20:46:00 16/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [20:46:00 16/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Double Lumen ETT st: NotStopd t0: [20:46:00 16/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:46:00 16/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [20:46:00 16/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:46:00 16/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.5 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:46:00 16/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [20:46:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: Pause Time % el: 0 cu: CSRU cg: RRT v1: 0% st: NotStopd t0: [20:46:00 16/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: RRT v1: 30.303 u1: lpm st: NotStopd t0: [20:46:00 16/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30.1 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19.7 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:46:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:46:00 16/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [20:46:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:46:00 16/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:46:00 16/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:46:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:46:00 16/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:46:00 16/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:46:00 16/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:46:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:46:00 16/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [20:46:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:46:00 16/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:46:00 16/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:46:00 16/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd t0: [20:46:00 16/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 70 u1: cmH2O st: NotStopd
t0: [21:00:00 16/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 60 u1: units st: NotStopd t0: [21:00:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 16/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [21:00:00 16/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 60 u1: units st: NotStopd t0: [21:00:00 16/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [21:00:00 16/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [21:00:00 16/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: L st: NotStopd t0: [21:00:00 16/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [19:50:00 16/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [19:50:00 16/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [19:50:00 16/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 88 rs: Final st: NotStopd t0: [19:50:00 16/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd
t0: [21:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [21:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [21:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.508 u1: kg x m st: NotStopd t0: [21:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [21:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.02 u1: g * m st: NotStopd t0: [21:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [21:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [21:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1022.22 u1: ... st: NotStopd t0: [21:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1633.14 u1: ... st: NotStopd t0: [21:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.9434 u1: ml st: NotStopd t0: [21:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [21:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [21:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [21:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [21:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:15:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:15:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [21:15:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:15:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.6104 u1: g * m st: NotStopd t0: [21:15:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35 u1: g*m/m2 st: NotStopd t0: [21:15:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:15:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:15:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:15:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1261.54 u1: ... st: NotStopd t0: [21:15:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:15:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:15:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:20:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [21:20:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:20:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:20:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:20:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:20:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.22336 u1: kg x m st: NotStopd t0: [21:20:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [21:20:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.2496 u1: g * m st: NotStopd t0: [21:20:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35 u1: g*m/m2 st: NotStopd t0: [21:20:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [21:20:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:20:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:20:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [21:20:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1276.92 u1: ... st: NotStopd t0: [21:20:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2043.08 u1: ... st: NotStopd t0: [21:20:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.8468 u1: ml st: NotStopd t0: [21:20:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [21:20:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:20:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd t0: [21:20:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:25:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:25:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:25:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [21:25:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.5792 u1: g * m st: NotStopd t0: [21:25:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [21:25:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:25:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:25:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:25:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1092.31 u1: ... st: NotStopd t0: [21:25:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [21:25:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:25:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd
t0: [21:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:15:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:15:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:20:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:20:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:20:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:20:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:25:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:25:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:25:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:25:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 16/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 16/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [20:00:00 16/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 16/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 16/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 16/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [20:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [20:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 16/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 16/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 16/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 16/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 16/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 16/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 16/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 16/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 16/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [21:30:00 16/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd
t0: [20:00:00 16/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.4375 u1: ... st: NotStopd t0: [22:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [22:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.95232 u1: kg x m st: NotStopd t0: [22:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.375 u1: ... st: NotStopd t0: [22:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.6272 u1: g * m st: NotStopd t0: [22:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [22:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [22:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.25 u1: ... st: NotStopd t0: [22:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 766.197 u1: ... st: NotStopd t0: [22:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1225.23 u1: ... st: NotStopd t0: [22:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.3551 u1: ml st: NotStopd t0: [22:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [22:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [22:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [22:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.1 u1: L/min st: NotStopd t0: [22:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd
t0: [21:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 6.24 vu: ml t0: [21:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [21:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 3.12 vu: ml t0: [21:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [21:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [22:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 14.625 vu: ml t0: [22:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [22:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 4.94 vu: ml t0: [22:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 16/07/2016] id: D5W 50.0ml + 100mghr Lasix IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [22:00:00 16/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [22:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [22:00:00 16/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [22:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 16/07/2016] id: Lasix el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 155 ap: none
t0: [22:23:00 16/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [22:23:00 16/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [22:23:00 16/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [22:23:00 16/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [22:23:00 16/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [22:23:00 16/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [20:00:00 16/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 16/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 16/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 16/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 16/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [21:00:00 16/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 16/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 16/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 16/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [21:00:00 16/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 16/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 16/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 16/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 16/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [22:00:00 16/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 16/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 16/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 16/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 16/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 16/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [22:00:00 16/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 16/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 16/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 16/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [22:00:00 16/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [22:00:00 16/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 16/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 16/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 16/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [22:00:00 16/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [22:00:00 16/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 16/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 16/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 16/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 16/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [22:00:00 16/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [22:00:00 16/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [22:00:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [22:48:00 16/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [21:00:00 16/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [21:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 16/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 16/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 16/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [23:00:00 16/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 16/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 16/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 16/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [23:00:00 16/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 16/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 16/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.76 u1: kg x m st: NotStopd t0: [23:00:00 16/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [23:00:00 16/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.792 u1: g * m st: NotStopd t0: [23:00:00 16/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [23:00:00 16/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:00:00 16/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 16/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 16/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 16/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.75 u1: ... st: NotStopd t0: [23:00:00 16/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 992 u1: ... st: NotStopd t0: [23:00:00 16/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1584.66 u1: ... st: NotStopd t0: [23:00:00 16/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 16/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.2963 u1: ml st: NotStopd t0: [23:00:00 16/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [23:00:00 16/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 16/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [23:00:00 16/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [23:00:00 16/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5 u1: L/min st: NotStopd t0: [23:00:00 16/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd
t0: [23:00:00 16/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.6 vu: ml t0: [23:00:00 16/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [23:00:00 16/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [23:00:00 16/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 16/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [23:00:00 16/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 16/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 16/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 125 cv: 125 ap: none t0: [23:00:00 16/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -89.26 cv: -89.26 ap: none t0: [23:00:00 16/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 35.74 cv: 1214.59 ap: none t0: [23:00:00 16/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 35.74 cv: 2185.59 ap: none t0: [23:00:00 16/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 125 cv: 4520 ap: none t0: [23:00:00 16/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -89.26 cv: -2489.41 ap: carryForward t0: [23:00:00 16/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 125 cv: 4675 ap: carryForward t0: [23:00:00 16/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -89.26 cv: 672.573 ap: carryForward
t0: [23:34:00 16/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [23:34:00 16/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [22:00:00 16/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 17/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [00:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [00:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 17/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 17/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 17/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3312 u1: kg x m st: NotStopd t0: [00:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3125 u1: ... st: NotStopd t0: [00:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.408 u1: g * m st: NotStopd t0: [00:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.875 u1: g*m/m2 st: NotStopd t0: [00:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [00:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [00:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 17/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 17/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 17/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 17/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [00:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 914.286 u1: ... st: NotStopd t0: [00:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1462.86 u1: ... st: NotStopd t0: [00:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.3689 u1: ml st: NotStopd t0: [00:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [00:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [00:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [00:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [00:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [00:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [00:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.6 vu: ml t0: [00:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [00:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [00:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [00:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 16/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT u1: ml/B st: NotStopd t0: [21:00:00 16/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:45:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [00:45:00 17/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 65 u1: decFrc st: NotStopd t0: [00:45:00 17/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [00:45:00 17/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:45:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [00:45:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Double Lumen ETT st: NotStopd t0: [00:45:00 17/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:45:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [00:45:00 17/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:45:00 17/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [00:45:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:45:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:45:00 17/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:45:00 17/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:45:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [00:45:00 17/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [00:45:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:45:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:45:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:45:00 17/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [01:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [01:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.9368 u1: kg x m st: NotStopd t0: [01:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [01:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.368 u1: g * m st: NotStopd t0: [01:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [01:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [01:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 858.182 u1: ... st: NotStopd t0: [01:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1372.09 u1: ... st: NotStopd t0: [01:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [01:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55 u1: ml st: NotStopd t0: [01:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [01:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [01:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [01:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [01:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd
t0: [01:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [01:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [01:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [01:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [01:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [01:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN st: NotStopd t0: [02:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [02:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [02:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [02:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [02:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [02:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.76872 u1: kg x m st: NotStopd t0: [02:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.25 u1: ... st: NotStopd t0: [02:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.7616 u1: g * m st: NotStopd t0: [02:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.125 u1: g*m/m2 st: NotStopd t0: [02:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [02:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [02:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [02:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [02:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40 u1: ... st: NotStopd t0: [02:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 901.587 u1: ... st: NotStopd t0: [02:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1441.62 u1: ... st: NotStopd t0: [02:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [02:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.6364 u1: ml st: NotStopd t0: [02:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [02:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [02:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [02:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.3 u1: L/min st: NotStopd t0: [02:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [02:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [02:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [02:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [02:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [02:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [02:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [02:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [01:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [03:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [03:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.44096 u1: kg x m st: NotStopd t0: [03:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [03:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.416 u1: g * m st: NotStopd t0: [03:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [03:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.625 u1: ... st: NotStopd t0: [03:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 837.5 u1: ... st: NotStopd t0: [03:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1340 u1: ... st: NotStopd t0: [03:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.6465 u1: ml st: NotStopd t0: [03:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [03:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [03:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [03:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [03:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd
t0: [03:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [03:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [03:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [03:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [03:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:45:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [03:30:00 17/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 17/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:30:00 17/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [03:30:00 17/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [04:00:00 17/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [04:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [04:00:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [04:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 17/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 17/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.44288 u1: kg x m st: NotStopd t0: [04:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.25 u1: ... st: NotStopd t0: [04:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 81.7904 u1: g * m st: NotStopd t0: [04:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 51.25 u1: g*m/m2 st: NotStopd t0: [04:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [04:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [04:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 17/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 17/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [04:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 17/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 17/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.75 u1: ... st: NotStopd t0: [04:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1150 u1: ... st: NotStopd t0: [04:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1840 u1: ... st: NotStopd t0: [04:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [04:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.1359 u1: ml st: NotStopd t0: [04:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [04:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [04:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [04:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 17/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.4 u1: L/min st: NotStopd t0: [04:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [04:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [04:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [04:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [04:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [04:00:00 17/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [04:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:41:00 17/07/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [04:41:00 17/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 73 rs: Final st: NotStopd
t0: [04:43:00 17/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [04:43:00 17/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd
t0: [04:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 17/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 17/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [05:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.625 u1: ... st: NotStopd t0: [05:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.85632 u1: kg x m st: NotStopd t0: [05:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.5625 u1: ... st: NotStopd t0: [05:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 88.5632 u1: g * m st: NotStopd t0: [05:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 55.625 u1: g*m/m2 st: NotStopd t0: [05:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 17/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [05:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 46.25 u1: ... st: NotStopd t0: [05:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 843.243 u1: ... st: NotStopd t0: [05:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1347.73 u1: ... st: NotStopd t0: [05:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 74 u1: ml st: NotStopd t0: [05:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [05:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [05:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 7.4 u1: L/min st: NotStopd t0: [05:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd
t0: [05:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [05:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [05:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [05:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [05:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:41:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 4.25 u1: ... st: NotStopd t0: [04:41:00 17/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 6.78426 u1: L/min st: NotStopd t0: [04:51:00 17/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.1 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.1 u1: % rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.44 u1: /mic l rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.1 rs: Final st: NotStopd
t0: [04:51:00 17/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 29.4 rs: Final st: NotStopd
t0: [05:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd
t0: [05:35:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [05:35:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:35:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [05:35:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Double Lumen ETT st: NotStopd t0: [05:35:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 26 st: NotStopd t0: [05:35:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:35:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:35:00 17/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:35:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [05:35:00 17/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:35:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:35:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:35:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [04:51:00 17/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 82 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [04:51:00 17/07/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 17.9 rs: Final st: NotStopd
t0: [06:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 4.0625 u1: ... st: NotStopd t0: [06:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [06:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [06:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [06:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.4256 u1: kg x m st: NotStopd t0: [06:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.625 u1: ... st: NotStopd t0: [06:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 17/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 17/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.256 u1: g * m st: NotStopd t0: [06:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [06:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [06:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [06:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [06:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 17/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [06:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 17/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.625 u1: ... st: NotStopd t0: [06:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 910.769 u1: ... st: NotStopd t0: [06:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1458.13 u1: ... st: NotStopd t0: [06:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 65 u1: ml st: NotStopd t0: [06:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [06:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [06:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [06:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.5 u1: L/min st: NotStopd t0: [06:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [06:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [06:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [06:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [06:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 17/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [06:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 17/07/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [06:00:00 17/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [06:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:38:00 17/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.112 u1: ml/dl st: NotStopd t0: [06:38:00 17/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:38:00 17/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 527.8 u1: ml/m/m st: NotStopd t0: [06:38:00 17/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:38:00 17/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 528.125 u1: ml/m/m st: NotStopd t0: [06:38:00 17/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 845 u1: ml/min st: NotStopd t0: [06:38:00 17/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 528.125 u1: ml/m/m st: NotStopd t0: [06:38:00 17/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [06:38:00 17/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [07:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [07:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [07:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [07:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.15536 u1: kg x m st: NotStopd t0: [07:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [07:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.5608 u1: g * m st: NotStopd t0: [07:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [07:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [07:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [07:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 812.903 u1: ... st: NotStopd t0: [07:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1298.97 u1: ... st: NotStopd t0: [07:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [07:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.3861 u1: ml st: NotStopd t0: [07:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [07:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [07:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [07:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [07:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd
t0: [07:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [07:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [07:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [07:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [07:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 16/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 17/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [07:00:00 17/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [08:00:00 17/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [08:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [08:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [08:00:00 17/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.53984 u1: kg x m st: NotStopd t0: [08:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.6875 u1: ... st: NotStopd t0: [08:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 79.4376 u1: g * m st: NotStopd t0: [08:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 49.375 u1: g*m/m2 st: NotStopd t0: [08:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [08:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [08:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [08:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1271.43 u1: ... st: NotStopd t0: [08:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2034.29 u1: ... st: NotStopd t0: [08:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [08:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.9474 u1: ml st: NotStopd t0: [08:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [08:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [08:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [08:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.6 u1: L/min st: NotStopd t0: [08:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd
t0: [08:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [08:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [08:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [08:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 17/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [08:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [08:00:00 17/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [08:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 17/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 17/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [08:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 17/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [08:00:00 17/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 17/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 17/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Insp Wheeze st: NotStopd t0: [08:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Insp Wheeze st: NotStopd t0: [08:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [08:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [08:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Insp Wheeze st: NotStopd t0: [08:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 17/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Insp Wheeze st: NotStopd t0: [08:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 17/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [08:00:00 17/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [18:00:00 16/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 16/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd
t0: [08:00:00 17/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 25 u1: ml/cmH st: NotStopd t0: [08:00:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 21cm v2: Lip st: NotStopd t0: [08:00:00 17/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [08:00:00 17/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [08:00:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 17/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [08:00:00 17/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Double Lumen ETT st: NotStopd t0: [08:00:00 17/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 17/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [08:00:00 17/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.4 u1: L/min st: NotStopd t0: [08:00:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [08:00:00 17/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 17/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 17/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 17/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 17/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [08:00:00 17/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV st: NotStopd t0: [08:00:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [08:00:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [08:00:00 17/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [08:00:00 17/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
tf: [09:00:00 17/07/2016] pt: Unit Dose rt: IT fr: 1X m1: Morphine Sulfate v1: 1 u1: mg tf: [09:00:00 18/07/2016] pt: Unit Dose rt: IT fr: 1X fs: 10 dn: 1 m1: Morphine Sulfate v1: 1 u1: mg tf: [12:00:00 18/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml
t0: [09:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [09:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [09:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PVC's st: NotStopd t0: [09:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [09:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.23328 u1: kg x m st: NotStopd t0: [09:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [09:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.3456 u1: g * m st: NotStopd t0: [09:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [09:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [09:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [09:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [09:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1000 u1: ... st: NotStopd t0: [09:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [09:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.6082 u1: ml st: NotStopd t0: [09:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [09:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [09:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd t0: [09:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [10:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [10:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.50528 u1: kg x m st: NotStopd t0: [10:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [10:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.8064 u1: g * m st: NotStopd t0: [10:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.875 u1: g*m/m2 st: NotStopd t0: [10:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [10:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [10:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1490.91 u1: ... st: NotStopd t0: [10:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2385.45 u1: ... st: NotStopd t0: [10:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.8085 u1: ml st: NotStopd t0: [10:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 79 u1: % st: NotStopd t0: [10:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [10:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [10:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd t0: [10:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd
t0: [09:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [09:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [09:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [09:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [10:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [10:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [10:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [10:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [09:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:15:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:15:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:15:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:15:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:15:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:15:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [10:15:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:15:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:15:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:15:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:15:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:15:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:15:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:15:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 80 u1: % st: NotStopd t0: [10:15:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:15:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd
t0: [10:15:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:15:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:20:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:20:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:20:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:20:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:20:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:20:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:20:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:20:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:20:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [10:20:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [10:20:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:20:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:20:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:20:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:20:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:20:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 82 u1: % st: NotStopd t0: [10:20:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:20:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:25:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:25:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:25:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:25:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:25:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:25:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:25:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:25:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:25:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:25:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:25:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 82 u1: % st: NotStopd t0: [10:25:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:25:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg st: NotStopd
t0: [10:00:00 17/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [10:20:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:20:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:25:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:25:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:30:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [10:30:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:30:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [10:30:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [10:30:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:30:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:30:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [10:30:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:30:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:30:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [10:30:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:30:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd
t0: [10:30:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:30:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:15:00 17/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Bronchoscopy st: NotStopd
t0: [10:45:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:45:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:45:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:45:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:45:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [10:45:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [10:45:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:45:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:45:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:45:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:45:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:45:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 79 u1: % st: NotStopd t0: [10:45:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:45:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd
t0: [08:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:15:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:20:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:25:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:15:00 17/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:15:00 17/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:45:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:45:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:45:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:55:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [10:55:00 17/07/2016] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:55:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [10:55:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [10:55:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [11:00:00 17/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd
t0: [11:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [11:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [11:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [11:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.06912 u1: kg x m st: NotStopd t0: [11:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [11:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.3904 u1: g * m st: NotStopd t0: [11:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [11:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [11:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [11:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1072.73 u1: ... st: NotStopd t0: [11:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1716.36 u1: ... st: NotStopd t0: [11:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.8261 u1: ml st: NotStopd t0: [11:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [11:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [11:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [11:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd t0: [11:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd
t0: [11:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:45:00 17/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v2: Done st: NotStopd t0: [09:45:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:45:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:45:00 17/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [09:45:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [11:45:00 17/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [11:45:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:45:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:45:00 17/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [11:45:00 17/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:45:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:45:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:45:00 17/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:45:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:45:00 17/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [12:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [12:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.50448 u1: kg x m st: NotStopd t0: [12:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.6875 u1: ... st: NotStopd t0: [12:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 81.0968 u1: g * m st: NotStopd t0: [12:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 50.625 u1: g*m/m2 st: NotStopd t0: [12:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.875 u1: ... st: NotStopd t0: [12:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1032.26 u1: ... st: NotStopd t0: [12:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1649.48 u1: ... st: NotStopd t0: [12:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 66.6667 u1: ml st: NotStopd t0: [12:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [12:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [12:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [12:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6.2 u1: L/min st: NotStopd t0: [12:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:25:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:25:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:25:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:25:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:25:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:25:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:25:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:25:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:25:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:25:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:25:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd
t0: [11:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [12:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.3625 vu: ml t0: [12:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [12:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.99 vu: ml t0: [12:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 17/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [12:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml t0: [12:00:00 17/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [11:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:25:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:25:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:00:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 17/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [12:00:00 17/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [12:00:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 17/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [12:00:00 17/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 17/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [12:00:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [12:00:00 17/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [12:00:00 17/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 13 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8 u1: L/min st: NotStopd t0: [12:00:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [12:00:00 17/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [12:00:00 17/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 17/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 17/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 17/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 17/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [12:00:00 17/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [12:00:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [12:00:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [12:00:00 17/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [12:00:00 17/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [12:30:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:30:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:30:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:30:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [12:30:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [12:30:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [12:30:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:30:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:30:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:30:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [12:30:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd
t0: [12:30:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
io: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ra: 30 ru: ml/hr
id: Impact w/fiber el: 1 cu: CSRU cg: RN io: Impact w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [13:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [13:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [13:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.96904 u1: kg x m st: NotStopd t0: [13:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [13:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.9736 u1: g * m st: NotStopd t0: [13:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [13:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [13:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [13:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 968.421 u1: ... st: NotStopd t0: [13:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1550.56 u1: ... st: NotStopd t0: [13:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.3333 u1: ml st: NotStopd t0: [13:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 77 u1: % st: NotStopd t0: [13:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [13:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [13:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.7 u1: L/min st: NotStopd t0: [13:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd
t0: [12:25:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:30:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.9575 vu: ml t0: [13:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [13:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [13:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [13:17:00 17/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [13:17:00 17/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2708 u1: ml/dl st: NotStopd t0: [13:17:00 17/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 741 u1: ml/min st: NotStopd t0: [13:17:00 17/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 462.8 u1: ml/m/m st: NotStopd t0: [13:17:00 17/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 741 u1: ml/min st: NotStopd t0: [13:17:00 17/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 463.125 u1: ml/m/m st: NotStopd t0: [13:17:00 17/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 741 u1: ml/min st: NotStopd t0: [13:17:00 17/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 463.125 u1: ml/m/m st: NotStopd t0: [13:17:00 17/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [13:17:00 17/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [13:15:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [13:30:00 17/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [13:30:00 17/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [13:30:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:30:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [13:30:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [13:30:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:30:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [13:30:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [13:30:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:30:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:30:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:30:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:30:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 79 u1: % st: NotStopd t0: [13:30:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd
t0: [13:30:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 17/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 17/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [12:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 17/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 17/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 17/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 17/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [12:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [12:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 17/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 17/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 17/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 17/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 17/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [13:15:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [14:00:00 17/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [14:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 17/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.936 u1: kg x m st: NotStopd t0: [14:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.3125 u1: ... st: NotStopd t0: [14:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.828 u1: g * m st: NotStopd t0: [14:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.625 u1: g*m/m2 st: NotStopd t0: [14:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [14:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 973.333 u1: ... st: NotStopd t0: [14:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1557.33 u1: ... st: NotStopd t0: [14:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [14:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [14:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [14:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [14:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [14:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 6 u1: L/min st: NotStopd t0: [14:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd
t0: [14:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [14:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [14:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 1.56 vu: ml t0: [14:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 17/07/2016] tf: [12:00:00 18/07/2016] dt: 1320 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 10 vu: ml t0: [14:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [14:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 17/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml
t0: [14:00:00 17/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd
t0: [15:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [15:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [15:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [15:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.93776 u1: kg x m st: NotStopd t0: [15:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [15:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.3904 u1: g * m st: NotStopd t0: [15:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [15:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [15:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [15:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 894.915 u1: ... st: NotStopd t0: [15:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1430.89 u1: ... st: NotStopd t0: [15:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.8247 u1: ml st: NotStopd t0: [15:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [15:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [15:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [15:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [15:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd
t0: [15:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [15:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [15:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [15:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [15:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [15:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 17/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 35.7143 u1: ml/cmH st: NotStopd t0: [15:00:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 17/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 v1: 60 u1: decFrc st: NotStopd t0: [15:00:00 17/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 v1: 40 u1: decFrc st: NotStopd t0: [15:00:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 17/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 v1: 33% st: NotStopd t0: [15:00:00 17/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [15:00:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [15:00:00 17/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [15:00:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [15:00:00 17/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 5 st: NotStopd t0: [15:00:00 17/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [15:00:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 v1: 0% st: NotStopd t0: [15:00:00 17/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 24 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [15:00:00 17/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [15:00:00 17/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 17/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [15:00:00 17/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [15:00:00 17/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [15:00:00 17/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [15:00:00 17/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 360 u1: ml/B st: NotStopd t0: [15:00:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [15:00:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [15:00:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd t0: [15:00:00 17/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [15:00:00 17/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 v1: 70 u1: cmH2O st: NotStopd
t0: [15:54:00 17/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: -1 v1: 50 u1: units st: NotStopd t0: [15:54:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [15:54:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [15:54:00 17/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: -1 v1: 50 u1: units st: NotStopd t0: [15:54:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:54:00 17/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:54:00 17/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 v1: 0.42 u1: L st: NotStopd t0: [15:54:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [15:54:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 8 u1: # st: NotStopd t0: [15:54:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Servo 900c st: NotStopd
t0: [16:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [16:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [16:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [16:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [16:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.85752 u1: kg x m st: NotStopd t0: [16:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [16:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.568 u1: g * m st: NotStopd t0: [16:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [16:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [16:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [16:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 881.356 u1: ... st: NotStopd t0: [16:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1409.21 u1: ... st: NotStopd t0: [16:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.2041 u1: ml st: NotStopd t0: [16:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [16:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [16:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [16:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [16:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd
t0: [16:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [16:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [16:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [16:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [16:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [16:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: TF Residual el: 1 cu: CSRU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [17:09:00 17/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.1151 u1: ml/dl st: NotStopd t0: [17:09:00 17/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [17:09:00 17/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [16:00:00 17/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [16:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 17/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 17/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 17/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Large st: NotStopd t0: [16:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 17/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [16:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [16:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 17/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [17:00:00 17/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [17:00:00 17/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [17:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [17:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [17:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 17/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 17/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Large st: NotStopd t0: [17:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [17:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [17:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.57248 u1: kg x m st: NotStopd t0: [17:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.75 u1: ... st: NotStopd t0: [17:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.808 u1: g * m st: NotStopd t0: [17:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45 u1: g*m/m2 st: NotStopd t0: [17:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 17/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 17/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [17:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1158.62 u1: ... st: NotStopd t0: [17:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1851.24 u1: ... st: NotStopd t0: [17:00:00 17/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [17:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.717 u1: ml st: NotStopd t0: [17:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [17:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [17:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [17:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd t0: [17:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [17:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [17:09:00 17/07/2016] id: DO2 el: 0 cu: CSRU cg: RN v1: 754 u1: ml/min st: NotStopd t0: [17:09:00 17/07/2016] id: DO2I el: 0 cu: CSRU cg: RN v1: 471.9 u1: ml/m/m st: NotStopd t0: [17:09:00 17/07/2016] id: zzO2AV el: 0 cu: CSRU cg: RN v1: 754 u1: ml/min st: NotStopd t0: [17:09:00 17/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: RN v1: 471.25 u1: ml/m/m st: NotStopd t0: [17:09:00 17/07/2016] id: O2AV el: 0 cu: CSRU cg: RN v1: 754 u1: ml/min st: NotStopd t0: [17:09:00 17/07/2016] id: O2AVI el: 0 cu: CSRU cg: RN v1: 471.25 u1: ml/m/m st: NotStopd t0: [17:30:00 17/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN st: NotStopd t0: [17:30:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:30:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [17:30:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:30:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:30:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 118 u1: BPM st: NotStopd t0: [17:30:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [17:30:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:30:00 17/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:30:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:30:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:30:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [17:30:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:30:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:30:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:30:00 17/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [17:30:00 17/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [17:30:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 78 u1: % st: NotStopd t0: [17:30:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd
t0: [17:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [17:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [17:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [17:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [17:30:00 17/07/2016] tf: [20:00:00 18/07/2016] dt: 1590 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml
t0: [17:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [12:00:00 18/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 18 dn: 1 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml
t0: [18:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [18:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [18:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [18:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.72832 u1: kg x m st: NotStopd t0: [18:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [18:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.6896 u1: g * m st: NotStopd t0: [18:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.75 u1: g*m/m2 st: NotStopd t0: [18:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [18:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [18:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1092.31 u1: ... st: NotStopd t0: [18:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1747.69 u1: ... st: NotStopd t0: [18:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.914 u1: ml st: NotStopd t0: [18:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [18:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [18:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [18:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd t0: [18:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd
t0: [18:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5.85 vu: ml t0: [18:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [18:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [18:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [18:00:00 17/07/2016] tf: [00:00:00 18/07/2016] dt: 360 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [18:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [18:00:00 17/07/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [18:00:00 17/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [18:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/07/2016] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 95 ap: none
tf: [06:00:00 18/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [16:45:00 17/07/2016] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 15.8 rs: Final st: NotStopd
t0: [20:00:00 17/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 17/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 17/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [20:00:00 17/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 17/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 17/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 17/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 17/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 17/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 17/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 17/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 17/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 17/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 17/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 17/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 17/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 17/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 17/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 17/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 17/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 17/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [20:00:00 17/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [20:00:00 17/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 17/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 17/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 17/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 17/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 17/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 17/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 17/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 17/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 17/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 17/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 17/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 17/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 17/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 17/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 17/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [20:00:00 17/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 17/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 17/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 17/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 17/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [20:02:00 17/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:02:00 17/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 60 u1: decFrc st: NotStopd t0: [20:02:00 17/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 40 u1: decFrc st: NotStopd t0: [20:02:00 17/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:02:00 17/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:02:00 17/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:02:00 17/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:02:00 17/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:02:00 17/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:02:00 17/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [20:02:00 17/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:02:00 17/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.6 u1: cmH2O st: NotStopd t0: [20:02:00 17/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [20:02:00 17/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:02:00 17/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:02:00 17/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:02:00 17/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:02:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [20:02:00 17/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:02:00 17/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:02:00 17/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:02:00 17/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:02:00 17/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [20:00:00 17/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 11.7 vu: ml t0: [20:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [20:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [20:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [20:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [20:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [20:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [20:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.0312 u1: kg x m st: NotStopd t0: [20:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.375 u1: ... st: NotStopd t0: [20:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.4768 u1: g * m st: NotStopd t0: [20:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [20:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 17/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [20:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1250.91 u1: ... st: NotStopd t0: [20:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2000 u1: ... st: NotStopd t0: [20:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.381 u1: ml st: NotStopd t0: [20:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [20:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [20:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [20:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [20:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd
t0: [20:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:10:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:10:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:10:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:10:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:10:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [20:10:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.8912 u1: g * m st: NotStopd t0: [20:10:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.5 u1: g*m/m2 st: NotStopd t0: [20:10:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [20:10:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:10:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:10:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:10:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:10:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1207.27 u1: ... st: NotStopd t0: [20:10:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd
t0: [20:10:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:10:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 17/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 17/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [21:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 17/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 17/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [21:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 17/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.9504 u1: kg x m st: NotStopd t0: [21:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [21:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 47.6 u1: g * m st: NotStopd t0: [21:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30 u1: g*m/m2 st: NotStopd t0: [21:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 17/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 17/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.25 u1: ... st: NotStopd t0: [21:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 953.846 u1: ... st: NotStopd t0: [21:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1526.15 u1: ... st: NotStopd t0: [21:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.5238 u1: ml st: NotStopd t0: [21:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [21:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [21:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [21:00:00 17/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.2 u1: L/min st: NotStopd t0: [21:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd
t0: [21:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [21:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [21:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [21:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 28 vu: ml
t0: [21:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 17/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
tf: [21:00:00 17/07/2016] pt: Unit Dose rt: PO fr: ONCE fs: 22 dn: 1 m1: Haloperidol v1: 2 u1: mg tf: [06:00:00 18/07/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Haloperidol v1: 2 u1: mg
t0: [22:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [22:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [22:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [22:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.06736 u1: kg x m st: NotStopd t0: [22:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [22:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 48.7968 u1: g * m st: NotStopd t0: [22:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [22:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [22:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [22:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 888.889 u1: ... st: NotStopd t0: [22:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1420.12 u1: ... st: NotStopd t0: [22:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.9231 u1: ml st: NotStopd t0: [22:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 76 u1: % st: NotStopd t0: [22:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [22:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [22:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [22:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd
t0: [22:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [22:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [22:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [22:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [22:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 17/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [23:00:00 17/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 17/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 17/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [23:00:00 17/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 17/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 17/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 17/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 17/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [23:00:00 17/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 17/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 17/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.70016 u1: kg x m st: NotStopd t0: [23:00:00 17/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [23:00:00 17/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.3904 u1: g * m st: NotStopd t0: [23:00:00 17/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [23:00:00 17/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:00:00 17/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 17/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 17/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 17/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 17/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [23:00:00 17/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 800 u1: ... st: NotStopd t0: [23:00:00 17/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1278.11 u1: ... st: NotStopd t0: [23:00:00 17/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 17/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.9434 u1: ml st: NotStopd t0: [23:00:00 17/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 79 u1: % st: NotStopd t0: [23:00:00 17/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 17/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [23:00:00 17/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [23:00:00 17/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 17/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.4 u1: L/min st: NotStopd t0: [23:00:00 17/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg st: NotStopd
t0: [22:00:00 17/07/2016] tf: [13:00:00 19/07/2016] dt: 2340 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7.2 vu: ml t0: [23:00:00 17/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [23:00:00 17/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [23:00:00 17/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7.2 vu: ml t0: [23:00:00 17/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 17/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [23:00:00 17/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [23:00:00 17/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 17/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 17/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 17/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 25 cv: 25 ap: none t0: [23:00:00 17/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 25 cv: 920.15 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 65 cv: 1220.15 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 300 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 25 cv: 993 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 40 cv: 132.15 ap: none t0: [23:00:00 17/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 25 cv: 1088 ap: none t0: [23:00:00 17/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 40 cv: 804.723 ap: carryForward
t0: [20:00:00 17/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 17/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 17/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 17/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [00:00:00 18/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 18/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [00:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 18/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [00:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [00:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 18/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [00:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [00:00:00 18/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: Drainage st: NotStopd t0: [00:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.17848 u1: kg x m st: NotStopd t0: [00:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.875 u1: ... st: NotStopd t0: [00:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.7376 u1: g * m st: NotStopd t0: [00:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [00:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 18/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 18/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [00:00:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [00:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 18/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 18/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [00:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 881.356 u1: ... st: NotStopd t0: [00:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1409.21 u1: ... st: NotStopd t0: [00:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.8431 u1: ml st: NotStopd t0: [00:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [00:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [00:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [00:00:00 18/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Total PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 18/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [00:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.9 u1: L/min st: NotStopd t0: [00:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [00:00:00 18/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 18/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [00:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [00:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [00:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [00:00:00 18/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [00:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 18/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [00:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 18/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 cv: 40 ap: none
t0: [00:50:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:50:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [00:50:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [00:50:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:50:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:50:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:50:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:50:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:50:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:50:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [00:50:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:50:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11.7 u1: cmH2O st: NotStopd t0: [00:50:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.1 u1: L/min st: NotStopd t0: [00:50:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:50:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:50:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:50:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:50:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [00:50:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:50:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:50:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:50:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:50:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [01:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [01:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [01:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [01:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [01:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [01:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [01:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [02:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 131 u1: BPM st: NotStopd t0: [02:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 9.6492 u1: kg x m st: NotStopd t0: [02:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 6 u1: ... st: NotStopd t0: [02:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.6848 u1: g * m st: NotStopd t0: [02:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [02:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [02:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.25 u1: ... st: NotStopd t0: [02:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1745.45 u1: ... st: NotStopd t0: [02:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2790.7 u1: ... st: NotStopd t0: [02:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 41.9847 u1: ml st: NotStopd t0: [02:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [02:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [02:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [02:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [02:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.5 u1: L/min st: NotStopd t0: [02:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd
t0: [01:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [01:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [01:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [01:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [01:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [02:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 1.95 vu: ml t0: [02:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [02:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [02:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [02:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [01:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:15:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:15:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:15:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [02:15:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:15:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:15:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 140 u1: BPM st: NotStopd t0: [02:15:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:15:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [02:15:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.9168 u1: kg x m st: NotStopd t0: [02:15:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [02:15:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 27.8528 u1: g * m st: NotStopd t0: [02:15:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 17.5 u1: g*m/m2 st: NotStopd t0: [02:15:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:15:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:15:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:15:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:15:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:15:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20 u1: ... st: NotStopd t0: [02:15:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 906.667 u1: ... st: NotStopd t0: [02:15:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1451.96 u1: ... st: NotStopd t0: [02:15:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:15:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 32.1429 u1: ml st: NotStopd t0: [02:15:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [02:15:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:15:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [02:15:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd
t0: [02:15:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:15:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [02:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [02:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:30:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.76992 u1: kg x m st: NotStopd t0: [02:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [02:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 30.5184 u1: g * m st: NotStopd t0: [02:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.375 u1: g*m/m2 st: NotStopd t0: [02:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [02:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.25 u1: ... st: NotStopd t0: [02:30:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 971.429 u1: ... st: NotStopd t0: [02:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1551.33 u1: ... st: NotStopd t0: [02:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 34.1463 u1: ml st: NotStopd t0: [02:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [02:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd t0: [02:30:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd
t0: [02:15:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:30:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 123 u1: BPM st: NotStopd
id: Amiodarone el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
t0: [02:45:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:45:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [02:45:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [02:45:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:45:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:45:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 123 u1: BPM st: NotStopd t0: [02:45:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:45:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:45:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.21056 u1: kg x m st: NotStopd t0: [02:45:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [02:45:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.272 u1: g * m st: NotStopd t0: [02:45:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.25 u1: g*m/m2 st: NotStopd t0: [02:45:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:45:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:45:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:45:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:45:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:45:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.875 u1: ... st: NotStopd t0: [02:45:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 874.419 u1: ... st: NotStopd t0: [02:45:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1397.77 u1: ... st: NotStopd t0: [02:45:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [02:45:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 34.9593 u1: ml st: NotStopd t0: [02:45:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [02:45:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:45:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [02:45:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 18/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd t0: [03:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [03:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd
t0: [02:45:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:45:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [06:00:00 18/07/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 3 dn: 1 m1: Metoprolol v1: 5 u1: mg
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [03:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [03:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 128 u1: BPM st: NotStopd t0: [03:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.1888 u1: kg x m st: NotStopd t0: [03:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [03:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 32.4632 u1: g * m st: NotStopd t0: [03:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20 u1: g*m/m2 st: NotStopd t0: [03:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.375 u1: ... st: NotStopd t0: [03:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 820 u1: ... st: NotStopd t0: [03:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1312 u1: ... st: NotStopd t0: [03:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 31.25 u1: ml st: NotStopd t0: [03:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [03:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [03:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [03:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [03:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [03:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10.92 vu: ml t0: [03:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [03:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 32 vu: ml
t0: [03:35:00 18/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.3 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.5 u1: % rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.3 rs: Final st: NotStopd
t0: [03:47:00 18/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [03:47:00 18/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:47:00 18/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:47:00 18/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [03:47:00 18/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [03:47:00 18/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [03:47:00 18/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd
t0: [03:53:00 18/07/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:53:00 18/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 59 rs: Final st: NotStopd
tf: [06:00:00 18/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Amiodarone HCl v1: 150 u1: mg tf: [10:00:00 18/07/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [09:00:00 25/07/2016] pt: Unit Dose rt: IV fr: ASDIR m1: Metoprolol v1: 5 u1: mg
t0: [03:53:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [03:53:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1983.19 u1: ... st: NotStopd t0: [03:53:00 18/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 3.76999 u1: L/min st: NotStopd t0: [04:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [04:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 119 u1: BPM st: NotStopd t0: [04:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.5224 u1: kg x m st: NotStopd t0: [04:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [04:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 29.1856 u1: g * m st: NotStopd t0: [04:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.125 u1: g*m/m2 st: NotStopd t0: [04:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [04:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.125 u1: ... st: NotStopd t0: [04:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1348.57 u1: ... st: NotStopd t0: [04:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2155.25 u1: ... st: NotStopd t0: [04:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [04:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 29.4118 u1: ml st: NotStopd t0: [04:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [04:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [04:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [04:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.5 u1: L/min st: NotStopd t0: [04:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd
t0: [04:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [04:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [04:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [04:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [04:00:00 18/07/2016] tf: [10:30:00 19/07/2016] dt: 1830 id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:35:00 18/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 244 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 47 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 u1: mEq/L rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [03:35:00 18/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [04:51:00 17/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 226 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [04:51:00 17/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.6 rs: Final st: NotStopd
t0: [03:35:00 18/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 186 rs: Final st: NotStopd
t0: [02:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [03:00:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 18/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [04:00:00 18/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 27 st: NotStopd t0: [04:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 18/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 18/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 18/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [05:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [05:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 1.02816 u1: kg x m st: NotStopd t0: [05:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 0.625 u1: ... st: NotStopd t0: [05:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 9.0576 u1: g * m st: NotStopd t0: [05:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 5.625 u1: g*m/m2 st: NotStopd t0: [05:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [05:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [05:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.125 u1: ... st: NotStopd t0: [05:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 95.2381 u1: ... st: NotStopd t0: [05:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 152.091 u1: ... st: NotStopd t0: [05:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 37.1681 u1: ml st: NotStopd t0: [05:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [05:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [05:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [05:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd t0: [05:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd
t0: [05:00:00 18/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [05:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [05:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [05:00:00 18/07/2016] tf: [08:00:00 18/07/2016] dt: 180 id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml t0: [05:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [05:00:00 18/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [04:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 18/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [00:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 18/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: RN v1: Left Posterior st: NotStopd t0: [04:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 18/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: RN v1: 0 cm v2: Level of Bed st: NotStopd t0: [04:00:00 18/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: RN v1: Transduced st: NotStopd t0: [04:00:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [04:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 18/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [04:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 18/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [04:00:00 18/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [04:00:00 18/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 18/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 18/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:51:00 17/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 881 rs: Final st: NotStopd
t0: [05:28:00 18/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 48.7805 u1: units st: NotStopd t0: [05:28:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:28:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [05:28:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [05:28:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:28:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:28:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:28:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:28:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:28:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [05:28:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [05:28:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [05:28:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.5 u1: cmH2O st: NotStopd t0: [05:28:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.5 u1: L/min st: NotStopd t0: [05:28:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [05:28:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:28:00 18/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 48.7805 u1: units st: NotStopd t0: [05:28:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [05:28:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:28:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:28:00 18/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:28:00 18/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.41 u1: L st: NotStopd t0: [05:28:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [05:28:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Support st: NotStopd t0: [05:28:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:28:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [05:28:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
id: Neosynephrine-k el: 200 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ra: 6.5 ru: ml/hr
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [00:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [06:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [06:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.94576 u1: kg x m st: NotStopd t0: [06:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [06:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 28.6824 u1: g * m st: NotStopd t0: [06:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.125 u1: g*m/m2 st: NotStopd t0: [06:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [06:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [06:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.125 u1: ... st: NotStopd t0: [06:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1010.53 u1: ... st: NotStopd t0: [06:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1613.45 u1: ... st: NotStopd t0: [06:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 36.5385 u1: ml st: NotStopd t0: [06:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [06:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [06:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [06:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd t0: [06:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg st: NotStopd
t0: [06:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [06:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [06:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [06:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [06:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 18/07/2016] tf: [15:27:00 17/08/2016] dt: 43767 id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [06:00:00 19/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [09:00:00 28/07/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Haloperidol v1: 2-5 u1: mg
t0: [07:50:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:50:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [07:50:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [07:50:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:50:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:50:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [07:50:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [07:50:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [07:50:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.4 u1: cmH2O st: NotStopd t0: [07:50:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [07:50:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [07:50:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:50:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [07:50:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [07:50:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [07:50:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [07:50:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [07:50:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 513 u1: ml/B st: NotStopd t0: [07:50:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:50:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [07:50:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [07:50:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 18/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 0 u1: lpm st: NotStopd
tf: [10:00:00 08/08/2016] pt: Unit Dose rt: PO fr: BID fs: 08, 12 dn: 2 m1: Desipramine HCl v1: 50 u1: mg tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Desipramine HCl v1: 50 u1: mg
t0: [07:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [07:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [07:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [07:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.62496 u1: kg x m st: NotStopd t0: [07:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.5 u1: ... st: NotStopd t0: [07:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 51.136 u1: g * m st: NotStopd t0: [07:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: g*m/m2 st: NotStopd t0: [07:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [07:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [07:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [07:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [07:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 25 u1: ... st: NotStopd t0: [07:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1490.91 u1: ... st: NotStopd t0: [07:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2385.45 u1: ... st: NotStopd t0: [07:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [07:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 39.6396 u1: ml st: NotStopd t0: [07:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [07:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [07:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [07:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [07:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd t0: [07:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [08:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3 u1: ... st: NotStopd t0: [08:00:00 18/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 18/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [08:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 18/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Commun Barrier st: NotStopd t0: [08:00:00 18/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [08:00:00 18/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 18/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 18/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [08:00:00 18/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [08:00:00 18/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [08:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [08:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [08:00:00 18/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 18/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [08:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 18/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 18/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.35296 u1: kg x m st: NotStopd t0: [08:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.375 u1: ... st: NotStopd t0: [08:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 18/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 18/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.0688 u1: g * m st: NotStopd t0: [08:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: g*m/m2 st: NotStopd t0: [08:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 18/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 18/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [08:00:00 18/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [08:00:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 18/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 4 mm st: NotStopd t0: [08:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 18/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 18/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 27.5 u1: ... st: NotStopd t0: [08:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1183.33 u1: ... st: NotStopd t0: [08:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1893.33 u1: ... st: NotStopd t0: [08:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 43.6364 u1: ml st: NotStopd t0: [08:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [08:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [08:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [08:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Restless st: NotStopd t0: [08:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.8 u1: L/min st: NotStopd t0: [08:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 18/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 18/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 18/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 18/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 18/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [07:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3.9 vu: ml t0: [07:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [07:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [08:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3.9 vu: ml t0: [08:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [08:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [08:00:00 18/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [08:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [08:00:00 18/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [07:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 18/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [09:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [09:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd
t0: [08:43:00 18/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.03 rs: Final st: NotStopd
t0: [09:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.3125 u1: ... st: NotStopd t0: [09:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [09:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.32752 u1: kg x m st: NotStopd t0: [09:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [09:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 39.7664 u1: g * m st: NotStopd t0: [09:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 25 u1: g*m/m2 st: NotStopd t0: [09:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [09:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [09:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [09:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 21.25 u1: ... st: NotStopd t0: [09:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1643.24 u1: ... st: NotStopd t0: [09:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2632.03 u1: ... st: NotStopd t0: [09:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 33.6364 u1: ml st: NotStopd t0: [09:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [09:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.7 u1: L/min st: NotStopd t0: [09:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd
t0: [06:00:00 18/07/2016] tf: [11:00:00 19/07/2016] dt: 1740 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [07:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [09:00:00 18/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3.9 vu: ml t0: [09:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [09:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [09:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [09:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [09:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [11:00:00 18/07/2016] pt: IV Piggyback rt: IT fr: Q24H fs: 10 dn: 1 m1: Morphine Sulfate PF v1: 0.5 u1: mg m2: Syringe (Intrathecal) v2: 3 u2: ml tf: [20:00:00 18/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg tf: [04:00:00 19/07/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml tf: [09:00:00 19/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Metoprolol v1: 5 u1: mg
id: Platelets el: 1 cu: CSRU cg: -1 io: Platelets IV Infusions du: ml rt: Intravenous Push
t0: [08:43:00 18/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 204 rs: Final st: NotStopd t0: [08:43:00 18/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.6 rs: Final st: NotStopd t0: [09:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [09:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 125 u1: BPM st: NotStopd t0: [09:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [09:30:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [09:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [09:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 140 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [09:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg st: NotStopd t0: [09:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [09:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [09:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 62 u1: % st: NotStopd t0: [09:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [09:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [09:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:30:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [10:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [10:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.33664 u1: kg x m st: NotStopd t0: [10:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.3125 u1: ... st: NotStopd t0: [10:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 47.4368 u1: g * m st: NotStopd t0: [10:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 29.375 u1: g*m/m2 st: NotStopd t0: [10:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 150 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [10:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20 u1: ... st: NotStopd t0: [10:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2111.11 u1: ... st: NotStopd t0: [10:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3377.78 u1: ... st: NotStopd t0: [10:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32.1429 u1: ml st: NotStopd t0: [10:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [10:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [10:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [10:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd t0: [10:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd
t0: [08:00:00 18/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 18/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 1.95 vu: ml t0: [10:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [10:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [10:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [10:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [09:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:30:00 18/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 18/07/2016] id: Dopamine el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:20:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:20:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [10:20:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [10:20:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:20:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:20:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:20:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [10:20:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:20:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [10:20:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.5696 u1: kg x m st: NotStopd t0: [10:20:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.875 u1: ... st: NotStopd t0: [10:20:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 39.168 u1: g * m st: NotStopd t0: [10:20:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 24.375 u1: g*m/m2 st: NotStopd t0: [10:20:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [10:20:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [10:20:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [10:20:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:20:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:20:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 18.75 u1: ... st: NotStopd t0: [10:20:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2034.29 u1: ... st: NotStopd t0: [10:20:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3251.14 u1: ... st: NotStopd t0: [10:20:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:20:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 30.1724 u1: ml st: NotStopd t0: [10:20:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 60 u1: % st: NotStopd t0: [10:20:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:20:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [10:20:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [10:20:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:20:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.5 u1: L/min st: NotStopd t0: [10:20:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:45:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [10:45:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:45:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:45:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:45:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [10:45:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [10:45:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.85792 u1: kg x m st: NotStopd t0: [10:45:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.0625 u1: ... st: NotStopd t0: [10:45:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 46.0224 u1: g * m st: NotStopd t0: [10:45:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: g*m/m2 st: NotStopd t0: [10:45:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 130 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [10:45:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:45:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [10:45:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 22.5 u1: ... st: NotStopd t0: [10:45:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1768.42 u1: ... st: NotStopd t0: [10:45:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2823.53 u1: ... st: NotStopd t0: [10:45:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:45:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 36.1905 u1: ml st: NotStopd t0: [10:45:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [10:45:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:45:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.7 u1: Deg. C st: NotStopd t0: [10:45:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.86 u1: Deg. F st: NotStopd t0: [10:45:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:45:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.8 u1: L/min st: NotStopd t0: [10:45:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd
t0: [10:25:00 18/07/2016] tf: [20:00:00 18/07/2016] dt: 575 id: Platelets IV Infusions el: 1 cu: CSRU cg: -1 ai: 198 vo: 267 vu: ml
t0: [10:20:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:20:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:20:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:20:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:45:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/07/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 267 ap: none
t0: [11:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 70 vu: ml t0: [11:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 9 vu: ml t0: [11:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [11:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [11:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [11:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml t0: [11:00:00 18/07/2016] tf: [12:00:00 18/07/2016] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [11:00:00 18/07/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [11:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [11:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 18/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [11:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 18/07/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 30 st: NotStopd t0: [11:00:00 18/07/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [11:00:00 18/07/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Antecub st: NotStopd t0: [11:00:00 18/07/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 27 st: NotStopd t0: [11:00:00 18/07/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [11:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.9096 u1: kg x m st: NotStopd t0: [11:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.0625 u1: ... st: NotStopd t0: [11:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 42.636 u1: g * m st: NotStopd t0: [11:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.875 u1: g*m/m2 st: NotStopd t0: [11:00:00 18/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 18/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [11:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [11:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20.625 u1: ... st: NotStopd t0: [11:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1747.37 u1: ... st: NotStopd t0: [11:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2789.92 u1: ... st: NotStopd t0: [11:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 33.0435 u1: ml st: NotStopd t0: [11:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [11:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [11:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [11:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [11:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.8 u1: L/min st: NotStopd t0: [11:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [11:02:00 18/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [11:02:00 18/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [11:00:00 18/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [11:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:40:00 18/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [10:40:00 18/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.9 rs: Final st: NotStopd t0: [10:40:00 18/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27.9 rs: Final st: NotStopd
t0: [10:40:00 18/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.4 u1: % rs: Final st: NotStopd t0: [10:40:00 18/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [10:40:00 18/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 rs: Final st: NotStopd
t0: [12:00:00 18/07/2016] id: Chest Tube Site #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 18/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 18/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 18/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 18/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [11:00:00 19/07/2016] pt: IV Piggyback rt: IT fr: ONCE fs: 12 dn: 1 m1: Morphine Sulfate PF v1: 1.5 u1: mg m2: Syringe (Intrathecal) v2: 3 u2: ml
t0: [12:00:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [12:00:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [12:00:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [12:00:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [12:00:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [12:00:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.3 u1: cmH2O st: NotStopd t0: [12:00:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [12:00:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [12:00:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 468 u1: ml/B st: NotStopd t0: [12:00:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [12:00:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [12:00:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [08:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [11:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [11:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [11:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 124 u1: BPM st: NotStopd t0: [11:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [11:30:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.72832 u1: kg x m st: NotStopd t0: [11:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.5625 u1: ... st: NotStopd t0: [11:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 45.5328 u1: g * m st: NotStopd t0: [11:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: g*m/m2 st: NotStopd t0: [11:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [11:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [11:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg st: NotStopd t0: [11:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 19.375 u1: ... st: NotStopd t0: [11:30:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1907.69 u1: ... st: NotStopd t0: [11:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3049.18 u1: ... st: NotStopd t0: [11:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 31.4516 u1: ml st: NotStopd t0: [11:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 58 u1: % st: NotStopd t0: [11:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [11:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [11:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.9 u1: L/min st: NotStopd t0: [11:30:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5 u1: ... st: NotStopd t0: [12:00:00 18/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Left Posterior st: NotStopd t0: [12:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [12:00:00 18/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [12:00:00 18/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [12:00:00 18/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 18/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [12:00:00 18/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [12:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 2 To pain st: NotStopd t0: [12:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [12:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [12:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 18/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 18/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 18/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.0048 u1: kg x m st: NotStopd t0: [12:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.125 u1: ... st: NotStopd t0: [12:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 18/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 18/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 47.5456 u1: g * m st: NotStopd t0: [12:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [12:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 18/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 v1: 0 cm v2: Level of Bed st: NotStopd t0: [12:00:00 18/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 v1: Transduced st: NotStopd t0: [12:00:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 4 mm st: NotStopd t0: [12:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 18/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 18/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [12:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.75 u1: ... st: NotStopd t0: [12:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1600 u1: ... st: NotStopd t0: [12:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2560 u1: ... st: NotStopd t0: [12:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 38.4615 u1: ml st: NotStopd t0: [12:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [12:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [12:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Light Yellow v2: Sediment st: NotStopd t0: [12:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Restless st: NotStopd t0: [12:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4 u1: L/min st: NotStopd t0: [12:00:00 18/07/2016] id: CPP el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 18/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Changed st: NotStopd
t0: [12:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 11.7 vu: ml t0: [12:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [12:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [12:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 0 vu: ml t0: [12:00:00 18/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [12:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [12:00:00 18/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [11:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:40:00 18/07/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 9.4 rs: Final st: NotStopd
t0: [09:00:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan st: NotStopd t0: [09:00:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [12:00:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [12:30:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 st: NotStopd
t0: [12:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 58 u1: % st: NotStopd t0: [13:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [13:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [13:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.4272 u1: kg x m st: NotStopd t0: [13:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.125 u1: ... st: NotStopd t0: [13:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 29.512 u1: g * m st: NotStopd t0: [13:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 18.75 u1: g*m/m2 st: NotStopd t0: [13:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [13:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [13:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 19.375 u1: ... st: NotStopd t0: [13:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1288.89 u1: ... st: NotStopd t0: [13:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2062.22 u1: ... st: NotStopd t0: [13:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 31.0345 u1: ml st: NotStopd t0: [13:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [13:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [13:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [13:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd t0: [13:10:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:10:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:10:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [13:10:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:10:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:10:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:10:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [13:10:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:10:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.672 u1: kg x m st: NotStopd t0: [13:10:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.3125 u1: ... st: NotStopd t0: [13:10:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 37.74 u1: g * m st: NotStopd t0: [13:10:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.75 u1: g*m/m2 st: NotStopd t0: [13:10:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [13:10:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:10:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:10:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:10:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:10:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [13:10:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1422.22 u1: ... st: NotStopd t0: [13:10:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2275.56 u1: ... st: NotStopd t0: [13:10:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:10:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 36.7347 u1: ml st: NotStopd t0: [13:10:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [13:10:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:10:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [13:10:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [13:10:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:10:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd
t0: [13:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:10:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:10:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:10:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [13:00:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [13:00:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [13:00:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [13:00:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [13:00:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:00:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [13:00:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [13:00:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [13:00:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd
t0: [13:15:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:15:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [13:15:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:15:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:15:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:15:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [13:15:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:15:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 27.1728 u1: g * m st: NotStopd t0: [13:15:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 16.875 u1: g*m/m2 st: NotStopd t0: [13:15:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:15:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:15:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [13:15:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:15:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [13:15:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 955.556 u1: ... st: NotStopd t0: [13:15:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:15:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 56 u1: % st: NotStopd t0: [13:15:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:15:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [13:15:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [13:15:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:20:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:20:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [13:20:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [13:20:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:20:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:20:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:20:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [13:20:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:20:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.35008 u1: kg x m st: NotStopd t0: [13:20:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.5 u1: ... st: NotStopd t0: [13:20:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 23.5008 u1: g * m st: NotStopd t0: [13:20:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 15 u1: g*m/m2 st: NotStopd t0: [13:20:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:20:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:20:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [13:20:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:20:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [13:20:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20 u1: ... st: NotStopd t0: [13:20:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1000 u1: ... st: NotStopd t0: [13:20:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1600 u1: ... st: NotStopd t0: [13:20:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:20:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32 u1: ml st: NotStopd t0: [13:20:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 56 u1: % st: NotStopd t0: [13:20:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:20:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [13:20:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [13:20:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:20:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.2 u1: L/min st: NotStopd t0: [13:25:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:25:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.8125 u1: ... st: NotStopd t0: [13:25:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:25:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:25:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:25:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [13:25:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:25:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.07632 u1: kg x m st: NotStopd t0: [13:25:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.9375 u1: ... st: NotStopd t0: [13:25:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 33.9456 u1: g * m st: NotStopd t0: [13:25:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 21.25 u1: g*m/m2 st: NotStopd t0: [13:25:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [13:25:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:25:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:25:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:25:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:25:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20 u1: ... st: NotStopd t0: [13:25:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2828.73 u1: ... st: NotStopd t0: [13:25:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:25:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 31.5217 u1: ml st: NotStopd t0: [13:25:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [13:25:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:25:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [13:25:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [13:25:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:25:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.9 u1: L/min st: NotStopd t0: [13:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.875 u1: ... st: NotStopd t0: [13:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:30:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [13:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [13:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.468 u1: kg x m st: NotStopd t0: [13:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [13:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 38.148 u1: g * m st: NotStopd t0: [13:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.75 u1: g*m/m2 st: NotStopd t0: [13:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [13:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [13:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20.625 u1: ... st: NotStopd t0: [13:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3021.28 u1: ... st: NotStopd t0: [13:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32.6087 u1: ml st: NotStopd t0: [13:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [13:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [13:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [13:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3 u1: L/min st: NotStopd
t0: [13:15:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:20:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:20:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:20:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:20:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:25:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:25:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:25:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:25:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:45:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:45:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:45:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [13:45:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:45:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:45:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [13:45:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0456 u1: kg x m st: NotStopd t0: [13:45:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [13:45:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.1312 u1: g * m st: NotStopd t0: [13:45:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.75 u1: g*m/m2 st: NotStopd t0: [13:45:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [13:45:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 149 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [13:45:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [13:45:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:45:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:45:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20 u1: ... st: NotStopd t0: [13:45:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2171.43 u1: ... st: NotStopd t0: [13:45:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3470.32 u1: ... st: NotStopd t0: [13:45:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:45:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 32.1101 u1: ml st: NotStopd t0: [13:45:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [13:45:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:45:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [13:45:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [13:45:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:45:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.5 u1: L/min st: NotStopd
t0: [13:45:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [14:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [14:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [14:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.0256 u1: kg x m st: NotStopd t0: [14:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [14:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 36.992 u1: g * m st: NotStopd t0: [14:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.125 u1: g*m/m2 st: NotStopd t0: [14:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [14:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.25 u1: ... st: NotStopd t0: [14:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1535.14 u1: ... st: NotStopd t0: [14:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2458.87 u1: ... st: NotStopd t0: [14:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 33.6364 u1: ml st: NotStopd t0: [14:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [14:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [14:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [14:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd
t0: [13:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [13:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 18/07/2016] tf: [14:00:00 18/07/2016] dt: 60 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [14:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9 vu: ml t0: [14:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10.8 vu: ml t0: [14:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [14:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:15:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:15:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:15:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [14:15:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:15:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:15:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:15:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [14:15:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.57 u1: kg x m st: NotStopd t0: [14:15:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [14:15:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 32.64 u1: g * m st: NotStopd t0: [14:15:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.625 u1: g*m/m2 st: NotStopd t0: [14:15:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:15:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:15:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [14:15:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:15:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:15:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20 u1: ... st: NotStopd t0: [14:15:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1508.57 u1: ... st: NotStopd t0: [14:15:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2410.96 u1: ... st: NotStopd t0: [14:15:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:15:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 32.4074 u1: ml st: NotStopd t0: [14:15:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [14:15:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:15:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [14:15:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [14:15:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.5 u1: L/min st: NotStopd
t0: [14:15:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 18/07/2016] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Cardioversion st: NotStopd t0: [14:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [14:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.0625 u1: ... st: NotStopd t0: [14:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:30:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [14:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.82744 u1: kg x m st: NotStopd t0: [14:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.75 u1: ... st: NotStopd t0: [14:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 27.4176 u1: g * m st: NotStopd t0: [14:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 16.875 u1: g*m/m2 st: NotStopd t0: [14:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [14:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [14:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20 u1: ... st: NotStopd t0: [14:30:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1309.09 u1: ... st: NotStopd t0: [14:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2097.09 u1: ... st: NotStopd t0: [14:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [14:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32.0388 u1: ml st: NotStopd t0: [14:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [14:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [14:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [14:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.3 u1: L/min st: NotStopd t0: [14:45:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:45:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [14:45:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:45:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:45:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:45:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:45:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:45:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.264 u1: kg x m st: NotStopd t0: [14:45:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.0625 u1: ... st: NotStopd t0: [14:45:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 33.66 u1: g * m st: NotStopd t0: [14:45:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 21.25 u1: g*m/m2 st: NotStopd t0: [14:45:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [14:45:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:45:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:45:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:45:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:45:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20.625 u1: ... st: NotStopd t0: [14:45:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:45:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 33.3333 u1: ml st: NotStopd t0: [14:45:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [14:45:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:45:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [14:45:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [14:45:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:45:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.2 u1: L/min st: NotStopd t0: [14:50:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:50:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [14:50:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:50:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:50:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [14:50:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [14:50:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.48352 u1: kg x m st: NotStopd t0: [14:50:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.4375 u1: ... st: NotStopd t0: [14:50:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 47.9808 u1: g * m st: NotStopd t0: [14:50:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [14:50:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [14:50:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 177 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [14:50:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg st: NotStopd t0: [14:50:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:50:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [14:50:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 17.5 u1: ... st: NotStopd t0: [14:50:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 27.8261 u1: ml st: NotStopd t0: [14:50:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 65 u1: % st: NotStopd t0: [14:50:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:50:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [14:50:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [14:50:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:50:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.2 u1: L/min st: NotStopd
t0: [14:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:45:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:50:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:50:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:50:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:50:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 18/07/2016] id: ICP el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 18/07/2016] id: Chest Tubes Left Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd t0: [15:00:00 18/07/2016] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [12:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 18/07/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [14:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 18/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [14:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [15:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [15:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [15:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 6.0996 u1: kg x m st: NotStopd t0: [15:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.8125 u1: ... st: NotStopd t0: [15:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 53.176 u1: g * m st: NotStopd t0: [15:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: g*m/m2 st: NotStopd t0: [15:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [15:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 162 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [15:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [15:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 21.25 u1: ... st: NotStopd t0: [15:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 33.913 u1: ml st: NotStopd t0: [15:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [15:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [15:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [15:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.9 u1: L/min st: NotStopd
t0: [12:00:00 18/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 0 vu: ml t0: [15:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [15:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 2.4375 vu: ml t0: [15:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 5.72 vu: ml t0: [15:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [15:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 0 vu: ml t0: [15:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml
t0: [15:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:00:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [15:00:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [15:00:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:00:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:00:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:00:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:00:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:00:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [15:00:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [15:00:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10.6 u1: cmH2O st: NotStopd t0: [15:00:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.2 u1: L/min st: NotStopd t0: [15:00:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [15:00:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [15:00:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [15:00:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [15:00:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 446 u1: ml/B st: NotStopd t0: [15:00:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:00:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [15:00:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [15:00:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [15:12:00 18/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [15:12:00 18/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd
t0: [15:15:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:15:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:15:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [15:15:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:15:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:15:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [15:15:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:15:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 6.05472 u1: kg x m st: NotStopd t0: [15:15:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.8125 u1: ... st: NotStopd t0: [15:15:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 53.3392 u1: g * m st: NotStopd t0: [15:15:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: g*m/m2 st: NotStopd t0: [15:15:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:15:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:15:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [15:15:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:15:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:15:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [15:15:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1828.57 u1: ... st: NotStopd t0: [15:15:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2920.15 u1: ... st: NotStopd t0: [15:15:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:15:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 37.1681 u1: ml st: NotStopd t0: [15:15:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [15:15:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:15:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [15:15:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [15:15:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:15:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.2 u1: L/min st: NotStopd t0: [15:20:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [15:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:30:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [15:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [15:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 6.05472 u1: kg x m st: NotStopd t0: [15:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.8125 u1: ... st: NotStopd t0: [15:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 53.3392 u1: g * m st: NotStopd t0: [15:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: g*m/m2 st: NotStopd t0: [15:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 146 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [15:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [15:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [15:30:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1828.57 u1: ... st: NotStopd t0: [15:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2920.15 u1: ... st: NotStopd t0: [15:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 37.1681 u1: ml st: NotStopd t0: [15:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [15:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [15:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [15:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.2 u1: L/min st: NotStopd
t0: [15:15:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [15:00:00 19/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [16:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [16:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [16:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 121 u1: BPM st: NotStopd t0: [16:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [16:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.96496 u1: kg x m st: NotStopd t0: [16:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.75 u1: ... st: NotStopd t0: [16:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.9392 u1: g * m st: NotStopd t0: [16:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.25 u1: g*m/m2 st: NotStopd t0: [16:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [16:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [16:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [16:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [16:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 22.5 u1: ... st: NotStopd t0: [16:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1655.81 u1: ... st: NotStopd t0: [16:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2646.84 u1: ... st: NotStopd t0: [16:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 35.5372 u1: ml st: NotStopd t0: [16:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [16:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [16:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.3 u1: L/min st: NotStopd
t0: [14:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 11.895 vu: ml t0: [16:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [16:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 18.75 vu: ml t0: [16:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [16:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 18/07/2016] id: Neuro Drain Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 18/07/2016] id: Neuro Drain Lev/Loc el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 18/07/2016] id: Neuro Drain Status el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 18/07/2016] id: Neuro Drain Type el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Very Sedated st: NotStopd t0: [14:00:00 18/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 18/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [15:12:00 18/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.8 rs: Final st: NotStopd t0: [16:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 18/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Sig Othr/Family st: NotStopd t0: [16:00:00 18/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [16:00:00 18/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 18/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Understands st: NotStopd t0: [16:00:00 18/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [16:00:00 18/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 18/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 18/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Fling st: NotStopd t0: [16:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 18/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 18/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 18/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 18/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 18/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 4 mm st: NotStopd t0: [16:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 18/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 18/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 18/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [17:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [17:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [17:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [17:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [17:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [17:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 124 u1: BPM st: NotStopd t0: [17:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:00:00 18/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [17:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.01472 u1: kg x m st: NotStopd t0: [17:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5 u1: ... st: NotStopd t0: [17:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 32.3408 u1: g * m st: NotStopd t0: [17:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 20 u1: g*m/m2 st: NotStopd t0: [17:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [17:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 18.125 u1: ... st: NotStopd t0: [17:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1511.11 u1: ... st: NotStopd t0: [17:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2417.78 u1: ... st: NotStopd t0: [17:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 29.0323 u1: ml st: NotStopd t0: [17:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [17:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [17:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [17:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [17:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd t0: [17:20:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.0625 u1: ... st: NotStopd t0: [17:20:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:20:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 138 u1: BPM st: NotStopd t0: [17:20:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:20:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 15 u1: ... st: NotStopd t0: [17:20:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [17:20:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 23.913 u1: ml st: NotStopd t0: [17:20:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [17:20:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:20:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [17:20:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [17:20:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:20:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.3 u1: L/min st: NotStopd
t0: [17:00:00 18/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 18/07/2016] tf: [08:20:00 19/07/2016] dt: 920 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml st: Restart t0: [17:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [17:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:38:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd
t0: [17:20:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.488 u1: kg x m st: NotStopd t0: [17:20:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.8125 u1: ... st: NotStopd t0: [17:20:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3378.64 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [17:30:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:30:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [17:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [17:30:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.44 u1: kg x m st: NotStopd t0: [17:30:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.375 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 53.04 u1: g * m st: NotStopd t0: [17:30:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: g*m/m2 st: NotStopd t0: [17:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [17:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 140 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [17:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [17:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:30:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 24.375 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1740 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2784 u1: ... st: NotStopd t0: [17:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:30:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 38.835 u1: ml st: NotStopd t0: [17:30:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 59 u1: % st: NotStopd t0: [17:30:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:30:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [17:30:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [17:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:30:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4 u1: L/min st: NotStopd
t0: [17:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [17:00:00 19/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [18:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [18:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [18:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [18:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 18/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [18:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 128 u1: BPM st: NotStopd t0: [18:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [18:00:00 18/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [18:00:00 18/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Small st: NotStopd t0: [18:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [18:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [18:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [18:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.25504 u1: kg x m st: NotStopd t0: [18:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.3125 u1: ... st: NotStopd t0: [18:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 41.2896 u1: g * m st: NotStopd t0: [18:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 25.625 u1: g*m/m2 st: NotStopd t0: [18:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [18:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20.625 u1: ... st: NotStopd t0: [18:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1504.76 u1: ... st: NotStopd t0: [18:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2403.04 u1: ... st: NotStopd t0: [18:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [18:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32.8125 u1: ml st: NotStopd t0: [18:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [18:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 62 u1: % st: NotStopd t0: [18:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [18:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [18:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [18:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.2 u1: L/min st: NotStopd
t0: [18:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 23.79 vu: ml t0: [18:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 12.48 vu: ml t0: [18:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [18:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 50 vu: ml t0: [18:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 50 vu: ml t0: [18:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [18:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 18/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 18/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [20:00:00 18/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [20:00:00 18/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 18/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 18/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 18/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 18/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 18/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [20:00:00 18/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [20:00:00 18/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.4 u1: cmH2O st: NotStopd t0: [20:00:00 18/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [20:00:00 18/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 18/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 18/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 18/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [20:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 18/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [20:00:00 18/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 18/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 18/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [20:00:00 18/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [20:00:00 18/07/2016] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 18/07/2016] id: Fresh Frozen Plasma IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 18/07/2016] id: Platelets IV Infusions el: 1 cu: CSRU cg: -1 ai: 198 vo: 0 st: D/C'd
id: Gastric Meds el: 1 cu: CSRU cg: RN io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [19:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 122 u1: BPM st: NotStopd t0: [19:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [19:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [19:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [19:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [19:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [20:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 130 u1: BPM st: NotStopd t0: [20:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.5288 u1: kg x m st: NotStopd t0: [20:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [20:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.272 u1: g * m st: NotStopd t0: [20:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.25 u1: g*m/m2 st: NotStopd t0: [20:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 17.5 u1: ... st: NotStopd t0: [20:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1686.49 u1: ... st: NotStopd t0: [20:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2701.3 u1: ... st: NotStopd t0: [20:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 28.4615 u1: ml st: NotStopd t0: [20:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [20:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [20:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [20:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [20:05:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:05:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [20:05:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:05:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:05:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:05:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:05:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:05:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 27.7984 u1: g * m st: NotStopd t0: [20:05:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 17.5 u1: g*m/m2 st: NotStopd t0: [20:05:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:05:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:05:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:05:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:05:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:05:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1362.16 u1: ... st: NotStopd t0: [20:05:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:05:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:10:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:10:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:10:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:10:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:10:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:10:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [20:10:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:10:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 29.3216 u1: g * m st: NotStopd t0: [20:10:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.125 u1: g*m/m2 st: NotStopd t0: [20:10:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:10:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [20:10:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:10:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:10:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:10:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1427.03 u1: ... st: NotStopd t0: [20:10:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:10:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:05:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:05:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:10:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:10:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 18/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [20:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 27.3 vu: ml t0: [20:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [20:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 50 vu: ml t0: [20:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [20:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:15:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:15:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [20:15:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:15:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:15:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.09184 u1: kg x m st: NotStopd t0: [20:15:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [20:15:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.5296 u1: g * m st: NotStopd t0: [20:15:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [20:15:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [20:15:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [20:15:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:15:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:15:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.625 u1: ... st: NotStopd t0: [20:15:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1682.05 u1: ... st: NotStopd t0: [20:15:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2688.52 u1: ... st: NotStopd t0: [20:15:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:15:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 40.625 u1: ml st: NotStopd t0: [20:15:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [20:15:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:15:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [20:15:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:30:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:30:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:30:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:30:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:30:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:30:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:30:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:30:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:45:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [20:45:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:45:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:45:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.91312 u1: kg x m st: NotStopd t0: [20:45:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [20:45:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 30.8448 u1: g * m st: NotStopd t0: [20:45:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 19.375 u1: g*m/m2 st: NotStopd t0: [20:45:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:45:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [20:45:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [20:45:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:45:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:45:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.5 u1: ... st: NotStopd t0: [20:45:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [20:45:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1915.49 u1: ... st: NotStopd t0: [20:45:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:45:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 36.1702 u1: ml st: NotStopd t0: [20:45:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [20:45:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.4 u1: L/min st: NotStopd
t0: [20:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 18/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 18/07/2016] tf: [15:27:00 17/08/2016] dt: 42927 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml
t0: [20:30:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:45:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:50:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:50:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [20:50:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:50:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:50:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:50:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:50:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:50:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:50:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.2512 u1: g * m st: NotStopd t0: [20:50:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.875 u1: g*m/m2 st: NotStopd t0: [20:50:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:50:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:50:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:50:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:50:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [20:50:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1270.59 u1: ... st: NotStopd t0: [20:50:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:50:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:50:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:50:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:50:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:50:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [20:00:00 19/07/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 21 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [20:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 18/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 18/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Fling st: NotStopd t0: [20:00:00 18/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [21:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [21:00:00 18/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [21:00:00 18/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [21:00:00 18/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 18/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [21:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.62944 u1: kg x m st: NotStopd t0: [21:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [21:00:00 18/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 18/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.2944 u1: g * m st: NotStopd t0: [21:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.75 u1: g*m/m2 st: NotStopd t0: [21:00:00 18/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 18/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [21:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [21:00:00 18/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [21:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 18/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 18/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 18/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [21:00:00 18/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [21:00:00 18/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 18/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.125 u1: ... st: NotStopd t0: [21:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1621.62 u1: ... st: NotStopd t0: [21:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2597.4 u1: ... st: NotStopd t0: [21:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 37 u1: ml st: NotStopd t0: [21:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [21:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [21:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [21:00:00 18/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 18/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [21:05:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:05:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [21:05:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:05:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:05:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:05:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:05:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [21:05:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [21:05:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.7784 u1: g * m st: NotStopd t0: [21:05:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [21:05:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [21:05:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:05:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:05:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:05:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:05:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1491.89 u1: ... st: NotStopd t0: [21:05:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:05:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.9 vu: ml t0: [21:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.1 vu: ml t0: [21:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [21:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [21:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 37 vu: ml
t0: [21:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:05:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:05:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:05:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:05:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 18/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [21:00:00 18/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 18/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 18/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 18/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 18/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:00:00 18/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [21:00:00 18/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 18/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 18/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 18/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [21:00:00 18/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 18/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [21:00:00 18/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [21:00:00 18/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 18/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 18/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 18/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 18/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate st: NotStopd t0: [21:00:00 18/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 18/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 18/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 18/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 18/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 18/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 18/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 18/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 18/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 18/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 18/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [21:00:00 18/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [21:00:00 18/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 18/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 18/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [21:00:00 18/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [21:00:00 18/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [21:16:00 18/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.3705 u1: ml/dl st: NotStopd t0: [21:16:00 18/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [21:16:00 18/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 323.4 u1: ml/m/m st: NotStopd t0: [21:16:00 18/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [21:16:00 18/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 323.75 u1: ml/m/m st: NotStopd t0: [21:16:00 18/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [21:16:00 18/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 323.75 u1: ml/m/m st: NotStopd t0: [21:16:00 18/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [21:16:00 18/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 182 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.04 rs: Final st: NotStopd t0: [21:16:00 18/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [22:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [22:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [22:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.65568 u1: kg x m st: NotStopd t0: [22:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [22:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 37.6992 u1: g * m st: NotStopd t0: [22:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [22:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.625 u1: ... st: NotStopd t0: [22:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1675 u1: ... st: NotStopd t0: [22:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2680 u1: ... st: NotStopd t0: [22:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 33.3333 u1: ml st: NotStopd t0: [22:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [22:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [22:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [22:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.2 u1: L/min st: NotStopd
t0: [22:00:00 18/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 170 vu: ml t0: [22:00:00 18/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.6375 vu: ml t0: [22:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.5 vu: ml t0: [22:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [22:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [22:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 33 vu: ml
t0: [22:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [21:00:00 27/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg tf: [10:00:00 08/08/2016] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Desipramine HCl v1: 75 u1: mg tf: [23:00:00 19/08/2016] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Desipramine HCl v1: 75 u1: mg tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Desipramine HCl v1: 25 u1: mg tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: QHS fs: 22 dn: 1 m1: Desipramine HCl v1: 50 u1: mg
t0: [22:00:00 18/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 18/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 18/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [23:00:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:00:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 18/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.37784 u1: kg x m st: NotStopd t0: [23:00:00 18/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [23:00:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 47.328 u1: g * m st: NotStopd t0: [23:00:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.375 u1: g*m/m2 st: NotStopd t0: [23:00:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [23:00:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [23:00:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:00:00 18/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25 u1: ... st: NotStopd t0: [23:00:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1535.14 u1: ... st: NotStopd t0: [23:00:00 18/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2458.87 u1: ... st: NotStopd t0: [23:00:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 18/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 40.2174 u1: ml st: NotStopd t0: [23:00:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [23:00:00 18/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 18/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [23:00:00 18/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [23:00:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 18/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [23:05:00 18/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:05:00 18/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:05:00 18/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:05:00 18/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:05:00 18/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 18/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 18/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:05:00 18/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:05:00 18/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.856 u1: g * m st: NotStopd t0: [23:05:00 18/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.75 u1: g*m/m2 st: NotStopd t0: [23:05:00 18/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:05:00 18/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:05:00 18/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [23:05:00 18/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:05:00 18/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [23:05:00 18/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1772.97 u1: ... st: NotStopd t0: [23:05:00 18/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:05:00 18/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [23:05:00 18/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 18/07/2016] tf: [12:00:00 19/07/2016] dt: 780 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [23:00:00 18/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [23:00:00 18/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [23:00:00 18/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [23:00:00 18/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 18/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [23:00:00 18/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [23:00:00 18/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 44 vu: ml
t0: [23:00:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:05:00 18/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 18/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 18/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 18/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 18/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 44 cv: 44 ap: none t0: [23:00:00 18/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 118.16 cv: 118.16 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 52.16 cv: 1634.05 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 162.16 cv: 2931.05 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 90 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 940 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 44 cv: 1531 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 118.16 cv: 1360.05 ap: none t0: [23:00:00 18/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 44 cv: 1571 ap: none t0: [23:00:00 18/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 118.16 cv: 2164.77 ap: carryForward
t0: [23:05:00 18/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [23:05:00 18/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:05:00 18/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [23:05:00 18/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [23:05:00 18/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [23:05:00 18/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [23:05:00 18/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd
t0: [00:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 19/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [00:00:00 19/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [00:00:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [00:00:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.4 u1: cmH2O st: NotStopd t0: [00:00:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [00:00:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:00:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:00:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:00:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [00:00:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:00:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [00:00:00 19/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [00:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [00:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [00:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.92496 u1: kg x m st: NotStopd t0: [00:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [00:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 39.2496 u1: g * m st: NotStopd t0: [00:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.375 u1: g*m/m2 st: NotStopd t0: [00:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.125 u1: ... st: NotStopd t0: [00:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1491.89 u1: ... st: NotStopd t0: [00:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2389.61 u1: ... st: NotStopd t0: [00:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 36.6337 u1: ml st: NotStopd t0: [00:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [00:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [00:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [00:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd
t0: [00:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.5875 vu: ml t0: [00:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [00:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [00:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [00:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [00:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 330 cv: 330 ap: none t0: [23:00:00 19/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -214.14 cv: -214.14 ap: none t0: [23:00:00 19/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 75.86 cv: 1387.44 ap: none t0: [23:00:00 19/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 115.86 cv: 2457.44 ap: none t0: [23:00:00 19/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 1010 ap: none t0: [23:00:00 19/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 330 cv: 1387 ap: none t0: [23:00:00 19/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -214.14 cv: 1070.44 ap: carryForward t0: [23:00:00 19/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 330 cv: 1387 ap: carryForward t0: [23:00:00 19/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -214.14 cv: 3235.22 ap: carryForward
t0: [00:35:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:35:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:35:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:35:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:35:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:35:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:35:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:35:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:35:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:35:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:35:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:35:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:35:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:35:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:35:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:40:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:40:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:40:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:40:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:40:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:40:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:40:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [00:40:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:40:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:40:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [00:40:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:40:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:40:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:40:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:40:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:45:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:45:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:45:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:45:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:45:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:45:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:45:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [00:45:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [00:45:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:45:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:45:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:45:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:45:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [00:45:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:45:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [01:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [01:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [01:00:00 19/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 19/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Fling st: NotStopd t0: [01:00:00 19/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.47208 u1: kg x m st: NotStopd t0: [01:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [01:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.6592 u1: g * m st: NotStopd t0: [01:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [01:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [01:00:00 19/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.75 u1: ... st: NotStopd t0: [01:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1318.92 u1: ... st: NotStopd t0: [01:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2112.55 u1: ... st: NotStopd t0: [01:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 37.7551 u1: ml st: NotStopd t0: [01:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [01:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [01:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [01:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [01:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [01:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [01:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [01:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [01:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:35:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:35:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:40:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:40:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:40:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:40:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:45:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:30:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:35:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:35:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:35:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:35:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:35:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:35:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:35:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:35:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [01:35:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:35:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [01:35:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [01:35:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:35:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [01:35:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:35:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [01:35:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:35:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:35:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:35:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:35:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [02:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 124 u1: BPM st: NotStopd t0: [02:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [02:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.25504 u1: kg x m st: NotStopd t0: [02:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3125 u1: ... st: NotStopd t0: [02:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.5408 u1: g * m st: NotStopd t0: [02:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [02:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [02:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.25 u1: ... st: NotStopd t0: [02:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1485.71 u1: ... st: NotStopd t0: [02:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2372.62 u1: ... st: NotStopd t0: [02:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 33.871 u1: ml st: NotStopd t0: [02:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [02:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [02:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [02:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [02:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 14.625 vu: ml t0: [02:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 18.72 vu: ml t0: [02:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 50 vu: ml t0: [02:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [02:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [02:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:46:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:30:00 19/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.1 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.3 u1: % rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.59 u1: /mic l rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.1 rs: Final st: NotStopd t0: [02:46:00 19/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.5608 u1: ml/dl st: NotStopd t0: [02:46:00 19/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 630 u1: ml/min st: NotStopd t0: [02:46:00 19/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 394.5 u1: ml/m/m st: NotStopd t0: [02:46:00 19/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 630 u1: ml/min st: NotStopd t0: [02:46:00 19/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 393.75 u1: ml/m/m st: NotStopd t0: [02:46:00 19/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 630 u1: ml/min st: NotStopd t0: [02:46:00 19/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 393.75 u1: ml/m/m st: NotStopd
t0: [02:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [02:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [02:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 19/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 19/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [02:00:00 19/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 19/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 19/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 19/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 19/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [02:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 19/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 19/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 147 rs: Manual st: NotStopd t0: [02:00:00 19/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [02:00:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN rs: Manual st: NotStopd
t0: [02:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [03:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [03:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.978 u1: kg x m st: NotStopd t0: [03:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [03:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.7 u1: g * m st: NotStopd t0: [03:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [03:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [03:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [03:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.875 u1: ... st: NotStopd t0: [03:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1312.82 u1: ... st: NotStopd t0: [03:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2098.36 u1: ... st: NotStopd t0: [03:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 35.1351 u1: ml st: NotStopd t0: [03:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [03:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [03:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [03:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [02:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [03:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [03:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [03:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [03:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 41 vu: ml
tf: [02:00:00 20/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 3 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [02:30:00 19/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 12.6 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd
t0: [03:05:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:05:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:05:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:05:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:05:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:05:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:05:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [03:05:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [03:05:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 37.604 u1: g * m st: NotStopd t0: [03:05:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [03:05:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:05:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:05:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:05:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:05:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [03:05:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1353.85 u1: ... st: NotStopd t0: [03:05:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:05:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:05:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:05:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [03:00:00 20/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [02:30:00 19/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 52 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 167 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:30:00 19/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [02:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [02:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [02:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [03:00:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [04:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 19/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 120 u1: units st: NotStopd t0: [04:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [04:00:00 19/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [04:00:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [04:00:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 19/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 19/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Fling st: NotStopd t0: [04:00:00 19/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [04:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [04:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [04:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.39456 u1: kg x m st: NotStopd t0: [04:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [04:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 32.8848 u1: g * m st: NotStopd t0: [04:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20.625 u1: g*m/m2 st: NotStopd t0: [04:00:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.6 u1: L/min st: NotStopd t0: [04:00:00 19/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [04:00:00 19/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 19/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 120 u1: units st: NotStopd t0: [04:00:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [04:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [04:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 19.375 u1: ... st: NotStopd t0: [04:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1725 u1: ... st: NotStopd t0: [04:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2760 u1: ... st: NotStopd t0: [04:00:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [04:00:00 19/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [04:00:00 19/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 36 u1: BPM st: NotStopd t0: [04:00:00 19/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.3 u1: L st: NotStopd t0: [04:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 31.3725 u1: ml st: NotStopd t0: [04:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [04:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [04:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [04:00:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [04:00:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [04:00:00 19/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.2 u1: L/min st: NotStopd
t0: [03:00:00 19/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [04:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [04:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [04:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [04:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 19/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 19/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 19/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 19/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 19/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 19/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 63 rs: Manual st: NotStopd t0: [03:00:00 19/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 3.94851 u1: L/min st: NotStopd
t0: [04:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 19/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd
t0: [05:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.875 u1: ... st: NotStopd t0: [05:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [05:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [05:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.7536 u1: kg x m st: NotStopd t0: [05:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [05:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.0336 u1: g * m st: NotStopd t0: [05:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.875 u1: g*m/m2 st: NotStopd t0: [05:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [05:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 17.5 u1: ... st: NotStopd t0: [05:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2080 u1: ... st: NotStopd t0: [05:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3319.15 u1: ... st: NotStopd t0: [05:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 28.0374 u1: ml st: NotStopd t0: [05:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [05:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [05:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [05:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3 u1: L/min st: NotStopd
t0: [05:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [09:00:00 19/07/2016] pt: IV Piggyback rt: IV fr: INFUSION m1: Amiodarone HCl v1: 600 u1: mg m2: D5W (EXCEL BAG) v2: 250 u2: ml
t0: [05:05:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:05:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [05:05:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.9375 u1: ... st: NotStopd t0: [05:05:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:05:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:05:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:05:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:05:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:05:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [05:05:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.90904 u1: kg x m st: NotStopd t0: [05:05:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [05:05:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 30.0288 u1: g * m st: NotStopd t0: [05:05:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.75 u1: g*m/m2 st: NotStopd t0: [05:05:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [05:05:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:05:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:05:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:05:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [05:05:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20 u1: ... st: NotStopd t0: [05:05:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1522.58 u1: ... st: NotStopd t0: [05:05:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2432.99 u1: ... st: NotStopd t0: [05:05:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:05:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 31.9588 u1: ml st: NotStopd t0: [05:05:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [05:05:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:05:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.1 u1: L/min st: NotStopd
t0: [04:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [05:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [05:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 4.68 vu: ml t0: [05:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [05:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [05:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 31 vu: ml
t0: [05:05:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:05:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 19/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [06:00:00 19/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.9375 u1: ... st: NotStopd t0: [06:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [06:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [06:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.83656 u1: kg x m st: NotStopd t0: [06:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [06:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.8904 u1: g * m st: NotStopd t0: [06:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [06:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [06:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 19/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 19/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [06:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 18.125 u1: ... st: NotStopd t0: [06:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2064.52 u1: ... st: NotStopd t0: [06:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3298.97 u1: ... st: NotStopd t0: [06:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 28.7037 u1: ml st: NotStopd t0: [06:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [06:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [06:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [06:00:00 19/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.1 u1: L/min st: NotStopd
t0: [06:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.9625 vu: ml t0: [06:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.5 vu: ml t0: [06:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [06:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml
t0: [06:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [03:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [03:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [03:00:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [03:00:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd
t0: [06:00:00 19/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd
t0: [06:00:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [06:00:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [07:00:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd
t0: [07:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [07:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [07:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [07:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3856 u1: kg x m st: NotStopd t0: [07:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [07:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.632 u1: g * m st: NotStopd t0: [07:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [07:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [07:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.875 u1: ... st: NotStopd t0: [07:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1509.09 u1: ... st: NotStopd t0: [07:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2414.55 u1: ... st: NotStopd t0: [07:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.1373 u1: ml st: NotStopd t0: [07:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [07:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [07:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [07:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [06:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [07:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [07:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [07:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [07:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [07:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 33 vu: ml
t0: [07:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [06:30:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [06:30:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [06:30:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [06:30:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [06:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:30:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [06:30:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Servo 900c st: NotStopd t0: [06:30:00 19/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 63 rs: Manual st: NotStopd t0: [06:30:00 19/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 3.94851 u1: L/min st: NotStopd
t0: [07:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 19/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [07:00:00 19/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [07:00:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [07:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [07:00:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [07:00:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.3 u1: cmH2O st: NotStopd t0: [07:00:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [07:00:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:00:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [07:00:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [07:00:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 420 u1: ml/B st: NotStopd t0: [07:00:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [07:00:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [07:00:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [07:00:00 19/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [08:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [08:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 19/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [08:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 19/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 19/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 19/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 19/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.7736 u1: kg x m st: NotStopd t0: [08:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [08:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 19/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.84 u1: g * m st: NotStopd t0: [08:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [08:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Easily Palpable st: NotStopd t0: [08:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 19/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 19/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 19/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [08:00:00 19/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.875 u1: ... st: NotStopd t0: [08:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1702.56 u1: ... st: NotStopd t0: [08:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2721.31 u1: ... st: NotStopd t0: [08:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 34.8214 u1: ml st: NotStopd t0: [08:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [08:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [08:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [08:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 19/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 19/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 19/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 19/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [08:00:00 19/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 19/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 28 vu: ml t0: [08:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [08:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [08:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [08:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [08:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [08:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 19/07/2016] id: Gastric Oral Gastric el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [08:25:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:25:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:25:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:25:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:25:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:25:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:25:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [08:25:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:25:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:25:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:25:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [08:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [08:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:30:00 19/07/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Cardioversion st: NotStopd t0: [08:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:35:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:35:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:35:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:35:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:35:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:35:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [08:35:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:35:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:35:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [08:35:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [08:35:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:35:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:35:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:35:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:40:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:40:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:40:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:40:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:40:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:40:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:40:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:40:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:40:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 94 u2: mmHg st: NotStopd t0: [08:40:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [08:40:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:40:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [08:40:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:40:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:45:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:45:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:45:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:45:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 64 u1: BPM st: NotStopd t0: [08:45:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:45:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:45:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [08:45:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:45:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 5 u1: BPM st: NotStopd t0: [08:45:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:45:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:50:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:50:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:50:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:50:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:50:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:50:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [08:50:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:50:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.776 u1: g * m st: NotStopd t0: [08:50:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [08:50:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:50:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:50:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [08:50:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:50:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [08:50:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [08:50:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:50:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [08:50:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [09:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [09:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.34152 u1: kg x m st: NotStopd t0: [09:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [09:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.408 u1: g * m st: NotStopd t0: [09:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.875 u1: g*m/m2 st: NotStopd t0: [09:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [09:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [09:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [09:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [09:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1148.72 u1: ... st: NotStopd t0: [09:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1836.07 u1: ... st: NotStopd t0: [09:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60 u1: ml st: NotStopd t0: [09:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [09:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [09:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [09:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd t0: [09:05:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:05:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [09:00:00 19/07/2016] tf: [12:45:00 19/07/2016] dt: 225 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [08:50:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml t0: [09:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.75 vu: ml t0: [09:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 10.92 vu: ml t0: [09:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 18.75 vu: ml t0: [09:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [09:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [08:25:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:25:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:25:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:25:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:35:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:35:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:35:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:35:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:40:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:40:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:40:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:40:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 45 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:45:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:50:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:50:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:50:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:50:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:20:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:20:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:20:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:20:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:20:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:20:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [09:20:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:20:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [09:20:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [09:20:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [09:20:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:20:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:20:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:20:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [09:20:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:20:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:20:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:20:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:20:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:25:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:25:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:25:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:25:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:25:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:25:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [09:25:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:25:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [09:25:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [09:25:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [09:25:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:25:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:25:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:25:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [09:25:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:25:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:25:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:25:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:25:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:20:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 38.148 u1: g * m st: NotStopd t0: [09:20:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [09:20:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1129.41 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.35824 u1: kg x m st: NotStopd t0: [09:25:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.5 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.3736 u1: g * m st: NotStopd t0: [09:25:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.875 u1: g*m/m2 st: NotStopd t0: [09:25:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1011.76 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1615.02 u1: ... st: NotStopd t0: [09:25:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.7463 u1: ml st: NotStopd t0: [09:25:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.4 u1: L/min st: NotStopd
t0: [09:50:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.5763 u1: ml/dl st: NotStopd t0: [09:50:00 19/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 510 u1: ml/min st: NotStopd t0: [09:50:00 19/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 319.5 u1: ml/m/m st: NotStopd t0: [09:50:00 19/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 510 u1: ml/min st: NotStopd t0: [09:50:00 19/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 318.75 u1: ml/m/m st: NotStopd t0: [09:50:00 19/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 510 u1: ml/min st: NotStopd t0: [09:50:00 19/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 318.75 u1: ml/m/m st: NotStopd t0: [09:50:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 202 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [09:50:00 19/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
tf: [09:00:00 28/07/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl v1: 400 u1: mg
t0: [10:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [10:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.42176 u1: kg x m st: NotStopd t0: [10:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [10:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.7888 u1: g * m st: NotStopd t0: [10:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [10:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [10:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [10:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1275.68 u1: ... st: NotStopd t0: [10:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2043.29 u1: ... st: NotStopd t0: [10:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.0606 u1: ml st: NotStopd t0: [10:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [10:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [10:10:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:10:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:10:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:10:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:10:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [10:10:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.6832 u1: g * m st: NotStopd t0: [10:10:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 48.75 u1: g*m/m2 st: NotStopd t0: [10:10:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:10:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:10:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [10:10:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:10:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:10:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1924.32 u1: ... st: NotStopd t0: [10:10:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:10:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 19/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml t0: [10:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 4.0625 vu: ml t0: [10:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 7.28 vu: ml t0: [10:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 16.6667 vu: ml t0: [10:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [10:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 32 vu: ml
t0: [10:00:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:10:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:10:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:10:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:10:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [10:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [10:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [10:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:30:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [10:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 19/07/2016] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:30:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:30:00 19/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:30:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:30:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [11:00:00 19/07/2016] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [10:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN u1: mmHg st: NotStopd t0: [10:45:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:45:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:45:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [10:45:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [10:45:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:45:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [10:45:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:45:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:45:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:45:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [11:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [11:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.2976 u1: kg x m st: NotStopd t0: [11:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [11:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.1664 u1: g * m st: NotStopd t0: [11:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [11:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [11:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [11:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1480 u1: ... st: NotStopd t0: [11:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2368 u1: ... st: NotStopd t0: [11:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.338 u1: ml st: NotStopd t0: [11:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [11:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [11:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [11:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [11:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 8.9375 vu: ml t0: [11:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 6.24 vu: ml t0: [11:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [11:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 29 vu: ml
t0: [10:45:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:50:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:50:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:50:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:50:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:50:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:50:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:50:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:50:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:50:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [11:50:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [11:50:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:50:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:50:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:50:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [11:50:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:50:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:50:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:30:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:30:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [11:30:00 19/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:30:00 19/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [11:30:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [11:30:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:30:00 19/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:30:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:30:00 19/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:50:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.3392 u1: g * m st: NotStopd t0: [11:50:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [11:50:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1374.36 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 19/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 19/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [12:00:00 19/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 19/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.23544 u1: kg x m st: NotStopd t0: [12:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.9688 u1: g * m st: NotStopd t0: [12:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [12:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [12:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 19/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [12:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1107.69 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1770.49 u1: ... st: NotStopd t0: [12:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.7027 u1: ml st: NotStopd t0: [12:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [12:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [12:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [12:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [12:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [11:30:00 19/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [12:00:00 19/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 13.325 vu: ml t0: [12:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 2.6 vu: ml t0: [12:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [12:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [12:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:15:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN st: NotStopd
t0: [12:40:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:40:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:40:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [12:40:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:40:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:40:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:40:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [12:40:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:40:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.19792 u1: kg x m st: NotStopd t0: [12:40:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [12:40:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.5432 u1: g * m st: NotStopd t0: [12:40:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 44.375 u1: g*m/m2 st: NotStopd t0: [12:40:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [12:40:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 149 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:40:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [12:40:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:40:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:40:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [12:40:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1619.05 u1: ... st: NotStopd t0: [12:40:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2585.55 u1: ... st: NotStopd t0: [12:40:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:40:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.7568 u1: ml st: NotStopd t0: [12:40:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [12:40:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:40:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [12:40:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:40:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:30:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:30:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [13:00:00 19/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 45.4545 u1: units st: NotStopd t0: [13:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [13:00:00 19/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: RRT v1: 55 u1: decFrc st: NotStopd t0: [13:00:00 19/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: RRT v1: 45 u1: decFrc st: NotStopd t0: [13:00:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:00:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [13:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [13:00:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [13:00:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.8 u1: L/min st: NotStopd t0: [13:00:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [13:00:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 0 u1: . st: NotStopd t0: [13:00:00 19/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 45.4545 u1: units st: NotStopd t0: [13:00:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [13:00:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [13:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [13:00:00 19/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [13:00:00 19/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.55 u1: L st: NotStopd t0: [13:00:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [13:00:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd t0: [13:00:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [13:00:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Servo 900c st: NotStopd t0: [13:00:00 19/07/2016] id: Working Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd
t0: [13:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [13:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.26376 u1: kg x m st: NotStopd t0: [13:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.5625 u1: ... st: NotStopd t0: [13:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.8736 u1: g * m st: NotStopd t0: [13:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 59.375 u1: g*m/m2 st: NotStopd t0: [13:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg st: NotStopd t0: [13:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40 u1: ... st: NotStopd t0: [13:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1681.63 u1: ... st: NotStopd t0: [13:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2692.81 u1: ... st: NotStopd t0: [13:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.6364 u1: ml st: NotStopd t0: [13:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [13:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [13:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [13:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [13:00:00 19/07/2016] tf: [10:00:00 20/07/2016] dt: 1260 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml st: Stopped t0: [13:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 11.7 vu: ml t0: [13:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [13:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [13:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [13:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:05:00 19/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [13:05:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:05:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: None st: NotStopd t0: [13:05:00 19/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Face Tent st: NotStopd t0: [13:15:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:15:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:15:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:15:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:15:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:15:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [13:15:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:15:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [13:15:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:15:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:15:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:15:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [13:15:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 19/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [13:00:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd
t0: [13:25:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:25:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [13:25:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:25:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:25:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:25:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:25:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:25:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [13:25:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:25:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [13:25:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:25:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:25:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:25:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [13:25:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:25:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:25:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:38:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.9716 u1: ml/dl st: NotStopd t0: [13:38:00 19/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 686 u1: ml/min st: NotStopd t0: [13:38:00 19/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 428.4 u1: ml/m/m st: NotStopd t0: [13:38:00 19/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 686 u1: ml/min st: NotStopd t0: [13:38:00 19/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 428.75 u1: ml/m/m st: NotStopd t0: [13:38:00 19/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 686 u1: ml/min st: NotStopd t0: [13:38:00 19/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 428.75 u1: ml/m/m st: NotStopd t0: [13:38:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [13:38:00 19/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [14:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [14:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [14:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.75568 u1: kg x m st: NotStopd t0: [14:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.5 u1: ... st: NotStopd t0: [14:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 101.143 u1: g * m st: NotStopd t0: [14:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 63.125 u1: g*m/m2 st: NotStopd t0: [14:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [14:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [14:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [14:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.875 u1: ... st: NotStopd t0: [14:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1517.24 u1: ... st: NotStopd t0: [14:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2424.24 u1: ... st: NotStopd t0: [14:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 67.4419 u1: ml st: NotStopd t0: [14:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [14:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [14:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [14:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.8 u1: L/min st: NotStopd
t0: [14:00:00 19/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 14.3 vu: ml t0: [14:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [14:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [14:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Nitroprusside el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 50mcgkgmin Nitroprusside IV Infusions am: 50 du: mcgkgmin rt: IV Drip
tf: [14:00:00 20/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 15 dn: 1 m1: Hydralazine HCl v1: 10 u1: mg
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 50mcgkgmin Nitroprusside IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [13:45:00 19/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:45:00 19/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [14:15:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [14:15:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:15:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:15:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [14:15:00 19/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [14:15:00 19/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:15:00 19/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [14:15:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:15:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [14:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 19/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [14:30:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [14:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [14:30:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [14:30:00 19/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [14:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [14:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 194 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [14:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg st: NotStopd t0: [14:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [14:30:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [14:30:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Nasotracheal Sxn v2: Small st: NotStopd t0: [14:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [15:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [15:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.44544 u1: kg x m st: NotStopd t0: [15:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [15:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.6424 u1: g * m st: NotStopd t0: [15:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [15:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 44 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [15:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1472.73 u1: ... st: NotStopd t0: [15:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2356.36 u1: ... st: NotStopd t0: [15:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.8889 u1: ml st: NotStopd t0: [15:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [15:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [14:30:00 19/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [15:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 23.4 vu: ml t0: [15:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 0 vu: ml t0: [15:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 38 vu: ml
t0: [14:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:30:00 19/07/2016] tf: [15:27:00 17/08/2016] dt: 41817 id: Nitroprusside el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:55:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [15:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [15:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd
t0: [15:25:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:25:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:25:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:25:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:25:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:25:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:25:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:25:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 36.108 u1: g * m st: NotStopd t0: [15:25:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [15:25:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:25:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [15:25:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [15:25:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:25:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:25:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1020 u1: ... st: NotStopd t0: [15:25:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:25:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:30:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [15:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.1008 u1: kg x m st: NotStopd t0: [15:30:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.9375 u1: ... st: NotStopd t0: [15:30:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.884 u1: g * m st: NotStopd t0: [15:30:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.875 u1: g*m/m2 st: NotStopd t0: [15:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [15:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:30:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [15:30:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 980 u1: ... st: NotStopd t0: [15:30:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1568 u1: ... st: NotStopd t0: [15:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:30:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.9438 u1: ml st: NotStopd t0: [15:30:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [15:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:30:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [14:45:00 19/07/2016] id: Nitroprusside el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/07/2016] id: Nitroprusside el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:25:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:25:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [15:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [12:00:00 19/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [14:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml t0: [15:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml
t0: [15:34:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [15:34:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [15:34:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [15:34:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [15:34:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 176 u1: mmHg rs: Final st: NotStopd t0: [15:34:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [16:00:00 19/07/2016] id: FIO2 Alarm-High el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: FIO2 Alarm-Low el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: % Inspir. Time el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: Minute Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: Pause Time % el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: Peak Flow (Calc) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 19/07/2016] id: Working Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [16:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [16:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [16:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [16:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [16:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [14:00:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [14:00:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:00:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT st: NotStopd t0: [14:45:00 19/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.2113 u1: ml/cmH st: NotStopd t0: [14:45:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [14:45:00 19/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [14:45:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:45:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [14:45:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:45:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [14:45:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:45:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [14:45:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 6 v2: 29 st: NotStopd t0: [14:45:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [14:45:00 19/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [14:45:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [14:45:00 19/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19.2 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17.9 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [14:45:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [14:45:00 19/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [14:45:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [14:45:00 19/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [14:45:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [14:45:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 93 u1: % st: NotStopd t0: [14:45:00 19/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [14:45:00 19/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [14:45:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [14:45:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [14:45:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [14:45:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [14:45:00 19/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [14:30:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT u1: # st: NotStopd t0: [14:30:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT st: NotStopd t0: [15:40:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd
id: Neosynephrine-k el: 300 cu: CSRU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
id: D5W el: 3 cu: CSRU cg: -1 io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [16:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [16:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 19/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 7 u1: points st: NotStopd t0: [16:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 19/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 19/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 19/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 19/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.0668 u1: kg x m st: NotStopd t0: [16:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.9375 u1: ... st: NotStopd t0: [16:00:00 19/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 19/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 36.652 u1: g * m st: NotStopd t0: [16:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: g*m/m2 st: NotStopd t0: [16:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 19/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [16:00:00 19/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 19/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 19/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: ... st: NotStopd t0: [16:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1343.75 u1: ... st: NotStopd t0: [16:00:00 19/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 48.8095 u1: ml st: NotStopd t0: [16:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [16:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Cloudy st: NotStopd t0: [16:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd t0: [16:10:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:10:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:10:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:10:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:10:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:10:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [16:10:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:10:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 36.652 u1: g * m st: NotStopd t0: [16:10:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: g*m/m2 st: NotStopd t0: [16:10:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [16:10:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [16:10:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [16:10:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:10:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [16:10:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 839.024 u1: ... st: NotStopd t0: [16:10:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:10:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [16:10:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:10:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36.7 u1: Deg. C st: NotStopd t0: [16:10:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.06 u1: Deg. F st: NotStopd t0: [16:10:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:15:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:15:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [16:15:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [16:15:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:15:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:15:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:15:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:15:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [16:15:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:15:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.17832 u1: kg x m st: NotStopd t0: [16:15:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [16:15:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 41.0856 u1: g * m st: NotStopd t0: [16:15:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 25.625 u1: g*m/m2 st: NotStopd t0: [16:15:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [16:15:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [16:15:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [16:15:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:15:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:15:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [16:15:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 878.049 u1: ... st: NotStopd t0: [16:15:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1406.25 u1: ... st: NotStopd t0: [16:15:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:15:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 53.2468 u1: ml st: NotStopd t0: [16:15:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 64 u1: % st: NotStopd t0: [16:15:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:15:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36.7 u1: Deg. C st: NotStopd t0: [16:15:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.06 u1: Deg. F st: NotStopd t0: [16:15:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:15:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd t0: [16:20:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:20:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [16:20:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:20:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:20:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:20:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:20:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:20:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.7352 u1: g * m st: NotStopd t0: [16:20:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.25 u1: g*m/m2 st: NotStopd t0: [16:20:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [16:20:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [16:20:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [16:20:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:20:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:20:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1092.68 u1: ... st: NotStopd t0: [16:20:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:20:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 65 u1: % st: NotStopd t0: [16:20:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:20:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36.8 u1: Deg. C st: NotStopd t0: [16:20:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.24 u1: Deg. F st: NotStopd t0: [16:20:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:30:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:30:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [16:30:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:30:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:30:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:30:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:30:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [16:30:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:30:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 46 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:30:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [16:30:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [16:30:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:30:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:30:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:30:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 65 u1: % st: NotStopd t0: [16:30:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:30:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36.7 u1: Deg. C st: NotStopd t0: [16:30:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.06 u1: Deg. F st: NotStopd t0: [16:30:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [17:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [17:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 19/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [17:00:00 19/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [17:00:00 19/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [17:00:00 19/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 19/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Understands st: NotStopd t0: [17:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [17:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [17:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [17:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [17:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Moderate st: NotStopd t0: [17:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [17:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [17:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.66752 u1: kg x m st: NotStopd t0: [17:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.9375 u1: ... st: NotStopd t0: [17:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 64.7088 u1: g * m st: NotStopd t0: [17:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 40.625 u1: g*m/m2 st: NotStopd t0: [17:00:00 19/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 46 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [17:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [17:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [17:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [17:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [17:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 38.125 u1: ... st: NotStopd t0: [17:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1181.82 u1: ... st: NotStopd t0: [17:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1890.91 u1: ... st: NotStopd t0: [17:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 19/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [17:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 61.1111 u1: ml st: NotStopd t0: [17:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [17:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [17:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [17:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 96.8 u1: Deg. F st: NotStopd t0: [17:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd
t0: [16:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10.075 vu: ml t0: [16:00:00 19/07/2016] tf: [22:31:00 20/07/2016] dt: 1831 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 7.54 vu: ml t0: [16:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [17:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [17:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [16:10:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:10:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:10:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:10:00 19/07/2016] id: Nitroprusside el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 19/07/2016] id: Nitroprusside el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:20:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:20:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:20:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:30:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/07/2016] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [14:15:00 19/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd
t0: [17:44:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [17:44:00 19/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.6073 u1: ml/dl st: NotStopd t0: [17:44:00 19/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 660 u1: ml/min st: NotStopd t0: [17:44:00 19/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 412.5 u1: ml/m/m st: NotStopd t0: [17:44:00 19/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 660 u1: ml/min st: NotStopd t0: [17:44:00 19/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 412.5 u1: ml/m/m st: NotStopd t0: [17:44:00 19/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 660 u1: ml/min st: NotStopd t0: [17:44:00 19/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 412.5 u1: ml/m/m st: NotStopd t0: [17:44:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [17:44:00 19/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [16:00:00 19/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 19/07/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [17:50:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [18:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [18:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.79168 u1: kg x m st: NotStopd t0: [18:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [18:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.0144 u1: g * m st: NotStopd t0: [18:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: g*m/m2 st: NotStopd t0: [18:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [18:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [18:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1053.66 u1: ... st: NotStopd t0: [18:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1687.5 u1: ... st: NotStopd t0: [18:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52.5641 u1: ml st: NotStopd t0: [18:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 62 u1: % st: NotStopd t0: [18:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [18:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 36.9 u1: Deg. C st: NotStopd t0: [18:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.42 u1: Deg. F st: NotStopd t0: [18:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd
t0: [18:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [18:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [18:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 19/07/2016] tf: [06:00:00 20/07/2016] dt: 720 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 15 vu: ml t0: [18:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [18:00:00 19/07/2016] tf: [15:27:00 17/08/2016] dt: 41607 id: Neosynephrine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 19/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd
t0: [18:40:00 19/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [18:40:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [18:40:00 19/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [18:40:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:40:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:40:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:40:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [18:40:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [18:40:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [18:40:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [18:40:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [18:40:00 19/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.7 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [18:40:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [18:40:00 19/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [18:40:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [18:40:00 19/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [18:40:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [18:40:00 19/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [18:40:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [18:40:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [18:40:00 19/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [18:40:00 19/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [18:40:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [18:40:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [18:40:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [18:40:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [18:40:00 19/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [19:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [19:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [19:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [19:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [19:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [19:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [19:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.23776 u1: kg x m st: NotStopd t0: [19:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [19:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 51.2992 u1: g * m st: NotStopd t0: [19:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: g*m/m2 st: NotStopd t0: [19:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 45 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [19:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [19:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [19:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [19:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: ... st: NotStopd t0: [19:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1452.63 u1: ... st: NotStopd t0: [19:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2319.33 u1: ... st: NotStopd t0: [19:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [19:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 45.7831 u1: ml st: NotStopd t0: [19:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [19:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [19:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.1 u1: Deg. C st: NotStopd t0: [19:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.78 u1: Deg. F st: NotStopd t0: [19:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.8 u1: L/min st: NotStopd
t0: [18:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 40 vu: ml t0: [19:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [19:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 9.36 vu: ml t0: [19:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 19/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 13 vu: ml t0: [19:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 40 vu: ml t0: [19:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [19:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 19/07/2016] id: FiO2 (Analyzed) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [19:33:00 19/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [19:33:00 19/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [19:33:00 19/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [19:33:00 19/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:33:00 19/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.5 st: NotStopd t0: [19:33:00 19/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [19:33:00 19/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [19:33:00 19/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [19:33:00 19/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [19:33:00 19/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [19:33:00 19/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.38 u1: L/min st: NotStopd t0: [19:33:00 19/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [19:33:00 19/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22.5 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20.4 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [19:33:00 19/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [19:33:00 19/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [19:33:00 19/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [19:33:00 19/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [19:33:00 19/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [19:33:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [19:33:00 19/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [19:33:00 19/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:33:00 19/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [19:33:00 19/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [19:33:00 19/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [19:33:00 19/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [19:33:00 19/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [20:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.94224 u1: kg x m st: NotStopd t0: [20:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [20:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.8688 u1: g * m st: NotStopd t0: [20:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35 u1: g*m/m2 st: NotStopd t0: [20:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [20:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1165.22 u1: ... st: NotStopd t0: [20:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1861.11 u1: ... st: NotStopd t0: [20:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.2727 u1: ml st: NotStopd t0: [20:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [20:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [20:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [20:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [20:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [20:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 19/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 13 vu: ml t0: [20:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [20:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [20:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [21:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.72736 u1: kg x m st: NotStopd t0: [21:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [21:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.6456 u1: g * m st: NotStopd t0: [21:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [21:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [21:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1236.36 u1: ... st: NotStopd t0: [21:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1978.18 u1: ... st: NotStopd t0: [21:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.8889 u1: ml st: NotStopd t0: [21:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [21:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [21:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [21:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [21:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [21:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [21:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 19/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 9.75 vu: ml t0: [21:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [21:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 38 vu: ml
t0: [21:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 19/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 19/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 19/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 19/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 19/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 19/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 19/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 19/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 19/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 19/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 19/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 19/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 19/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 19/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 19/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 19/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Doppler st: NotStopd t0: [20:00:00 19/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 19/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 19/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:00:00 19/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 19/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 19/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 19/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 19/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 19/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 19/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 19/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 19/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 19/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 19/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 19/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 19/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [21:00:00 19/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml
t0: [23:00:00 19/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [21:00:00 19/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [21:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:43:00 19/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd
t0: [21:43:00 19/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.3292 u1: ml/dl st: NotStopd t0: [21:43:00 19/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 616 u1: ml/min st: NotStopd t0: [21:43:00 19/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 385 u1: ml/m/m st: NotStopd t0: [21:43:00 19/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 616 u1: ml/min st: NotStopd t0: [21:43:00 19/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 385 u1: ml/m/m st: NotStopd t0: [21:43:00 19/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 616 u1: ml/min st: NotStopd t0: [21:43:00 19/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 385 u1: ml/m/m st: NotStopd t0: [21:43:00 19/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 130 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.08 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
tf: [21:00:00 20/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Furosemide v1: 40 u1: mg
t0: [22:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [22:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.23136 u1: kg x m st: NotStopd t0: [22:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [22:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.1264 u1: g * m st: NotStopd t0: [22:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.625 u1: g*m/m2 st: NotStopd t0: [22:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [22:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 19/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.25 u1: ... st: NotStopd t0: [22:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1527.27 u1: ... st: NotStopd t0: [22:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2446.6 u1: ... st: NotStopd t0: [22:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 42.3077 u1: ml st: NotStopd t0: [22:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 55 u1: % st: NotStopd t0: [22:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [22:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [22:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.3 u1: L/min st: NotStopd
t0: [21:00:00 19/07/2016] tf: [06:00:00 20/07/2016] dt: 540 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 3 vu: ml t0: [22:00:00 19/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [22:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [22:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 19/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [22:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [22:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [22:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:43:00 19/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.48 rs: Final st: NotStopd t0: [21:43:00 19/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.48 rs: Final st: NotStopd
t0: [23:00:00 19/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 19/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:00:00 19/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [23:00:00 19/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 19/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 19/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 19/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.47616 u1: kg x m st: NotStopd t0: [23:00:00 19/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [23:00:00 19/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.4176 u1: g * m st: NotStopd t0: [23:00:00 19/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [23:00:00 19/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:00:00 19/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 19/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:00:00 19/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.75 u1: ... st: NotStopd t0: [23:00:00 19/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [23:00:00 19/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1920 u1: ... st: NotStopd t0: [23:00:00 19/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 19/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.5696 u1: ml st: NotStopd t0: [23:00:00 19/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [23:00:00 19/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 19/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [23:00:00 19/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [23:00:00 19/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 19/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd
t0: [23:00:00 19/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [23:00:00 19/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [23:00:00 19/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 19/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [23:00:00 19/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [23:00:00 19/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 330 vu: ml
t0: [23:00:00 19/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 19/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 19/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [23:00:00 19/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [23:00:00 19/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [00:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [00:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.1616 u1: kg x m st: NotStopd t0: [00:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [00:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.7888 u1: g * m st: NotStopd t0: [00:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [00:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 20/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [00:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 942.222 u1: ... st: NotStopd t0: [00:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1508.9 u1: ... st: NotStopd t0: [00:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.25 u1: ml st: NotStopd t0: [00:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [00:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [00:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [00:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [00:00:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [00:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 12.48 vu: ml t0: [00:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [00:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [00:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [00:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 19/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [21:00:00 19/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 19/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 19/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 19/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 19/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 19/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 19/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 20/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 20/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [00:00:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 20/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 20/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 20/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 20/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 20/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 20/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [00:28:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.455 u1: ml/cmH st: NotStopd t0: [00:28:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:28:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:28:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:28:00 20/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2 st: NotStopd t0: [00:28:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:28:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:28:00 20/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [00:28:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [00:28:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:28:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11.4 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [00:28:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [00:28:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23.9 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:28:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [00:28:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:28:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:28:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [00:28:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:28:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [00:28:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:28:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:28:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:28:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 20/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [01:00:00 20/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [01:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [01:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 20/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 20/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 20/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 20/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.216 u1: kg x m st: NotStopd t0: [01:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [01:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.1216 u1: g * m st: NotStopd t0: [01:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [01:00:00 20/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [01:00:00 20/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [01:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 20/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 20/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [01:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 880 u1: ... st: NotStopd t0: [01:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1405.75 u1: ... st: NotStopd t0: [01:00:00 20/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.5 u1: ml st: NotStopd t0: [01:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [01:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [01:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [01:00:00 20/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 20/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [01:00:00 20/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 25 vu: ml t0: [01:00:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [01:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [01:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [01:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [01:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [01:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: 3161 pv: 45 cv: 45 ap: none t0: [23:00:00 20/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: 3161 pv: 102.8 cv: 102.8 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 147.8 cv: 1155.79 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 147.8 cv: 1745.79 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 cv: 530 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 37 cv: 1870 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: 3161 pv: 102.8 cv: -187.208 ap: none t0: [23:00:00 20/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: 3161 pv: 45 cv: 1933 ap: none t0: [23:00:00 20/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: 3161 pv: 102.8 cv: 3048.01 ap: carryForward
t0: [01:05:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:05:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:05:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [01:05:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:05:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:05:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:05:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:05:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:05:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:05:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.2912 u1: kg x m st: NotStopd t0: [01:05:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [01:05:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.888 u1: g * m st: NotStopd t0: [01:05:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.25 u1: g*m/m2 st: NotStopd t0: [01:05:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:05:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [01:05:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [01:05:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:05:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:05:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [01:05:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 890.909 u1: ... st: NotStopd t0: [01:05:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1425.45 u1: ... st: NotStopd t0: [01:05:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:05:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4103 u1: ml st: NotStopd t0: [01:05:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [01:05:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:05:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [01:05:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [01:05:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:05:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd t0: [01:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [01:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.91816 u1: kg x m st: NotStopd t0: [01:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [01:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.2048 u1: g * m st: NotStopd t0: [01:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [01:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [01:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [01:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1153.49 u1: ... st: NotStopd t0: [01:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1843.87 u1: ... st: NotStopd t0: [01:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.4304 u1: ml st: NotStopd t0: [01:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [01:15:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:15:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [01:15:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [01:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [01:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 60 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:05:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:05:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:05:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:15:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [02:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 20/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [02:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.37144 u1: kg x m st: NotStopd t0: [02:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [02:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.9152 u1: g * m st: NotStopd t0: [02:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.25 u1: g*m/m2 st: NotStopd t0: [02:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [02:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 20/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.75 u1: ... st: NotStopd t0: [02:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1340.54 u1: ... st: NotStopd t0: [02:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2147.19 u1: ... st: NotStopd t0: [02:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.679 u1: ml st: NotStopd t0: [02:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [02:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [02:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [02:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd
t0: [02:00:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [02:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.62 vu: ml t0: [02:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 7.58333 vu: ml t0: [02:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [02:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [02:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:45:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [01:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:45:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [01:45:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:45:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:45:00 20/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [01:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [01:45:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [01:45:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [01:45:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [01:45:00 20/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [01:45:00 20/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [01:45:00 20/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [01:45:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:45:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:45:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [01:45:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [01:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 20/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 58 rs: Manual st: NotStopd
t0: [01:45:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 20/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [02:34:00 20/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [01:45:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 2.3125 u1: ... st: NotStopd t0: [01:45:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: 3161 v1: 1362.16 u1: ... st: NotStopd t0: [01:45:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: 3161 v1: 2181.82 u1: ... st: NotStopd t0: [01:45:00 20/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 3.67078 u1: L/min st: NotStopd t0: [02:00:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 20.3 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 32.5 u1: % rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.68 u1: /mic l rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 20.3 rs: Final st: NotStopd t0: [02:34:00 20/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.1869 u1: ml/dl st: NotStopd t0: [02:34:00 20/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [02:34:00 20/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 323.4 u1: ml/m/m st: NotStopd t0: [02:34:00 20/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [02:34:00 20/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 323.75 u1: ml/m/m st: NotStopd t0: [02:34:00 20/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 518 u1: ml/min st: NotStopd t0: [02:34:00 20/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 323.75 u1: ml/m/m st: NotStopd
t0: [03:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [03:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.41088 u1: kg x m st: NotStopd t0: [03:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [03:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 41.2896 u1: g * m st: NotStopd t0: [03:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.625 u1: g*m/m2 st: NotStopd t0: [03:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [03:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [03:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.75 u1: ... st: NotStopd t0: [03:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1284.21 u1: ... st: NotStopd t0: [03:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2050.42 u1: ... st: NotStopd t0: [03:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.7831 u1: ml st: NotStopd t0: [03:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [03:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [03:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [03:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [03:00:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [03:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [03:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [03:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [03:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml
t0: [03:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 20/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 20/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 20/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [03:00:00 20/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [03:01:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [02:00:00 20/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.1 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 26.5 rs: Final st: NotStopd
t0: [02:00:00 20/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 57 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 u1: mEq/L rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd t0: [02:00:00 20/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd
t0: [03:40:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.7356 u1: ml/cmH st: NotStopd t0: [03:40:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [03:40:00 20/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [03:40:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [03:40:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:40:00 20/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.1 st: NotStopd t0: [03:40:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:40:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [03:40:00 20/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [03:40:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [03:40:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [03:40:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11.7 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.35 u1: L/min st: NotStopd t0: [03:40:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [03:40:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22.4 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19.7 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [03:40:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [03:40:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [03:40:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [03:40:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [03:40:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [03:40:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [03:40:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [03:40:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [03:40:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [03:40:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [03:40:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [03:00:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [03:00:00 20/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [03:00:00 20/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 20/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Large st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [03:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [03:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [03:00:00 20/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 20/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 20/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [03:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [03:00:00 20/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 20/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [04:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.44448 u1: kg x m st: NotStopd t0: [04:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [04:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.4624 u1: g * m st: NotStopd t0: [04:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.875 u1: g*m/m2 st: NotStopd t0: [04:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 20/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [04:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [04:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2554.62 u1: ... st: NotStopd t0: [04:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.186 u1: ml st: NotStopd t0: [04:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [04:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [04:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [04:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [04:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [04:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 6.5 vu: ml t0: [04:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [04:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [04:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 20/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vu: ml t0: [04:00:00 20/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [04:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [04:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [04:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [04:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.59952 u1: kg x m st: NotStopd t0: [04:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [04:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.2576 u1: g * m st: NotStopd t0: [04:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [04:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [04:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [04:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1684.21 u1: ... st: NotStopd t0: [04:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2689.08 u1: ... st: NotStopd t0: [04:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.6782 u1: ml st: NotStopd t0: [04:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [04:15:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:15:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [04:15:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [04:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [04:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:09:00 20/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 137.931 u1: units st: NotStopd t0: [05:09:00 20/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 137.931 u1: units st: NotStopd t0: [05:09:00 20/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:09:00 20/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.29 u1: L st: NotStopd
t0: [00:28:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd
t0: [04:00:00 20/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 20/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [04:00:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 20/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 20/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 20/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 20/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 20/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 20/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 20/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [05:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.828 u1: kg x m st: NotStopd t0: [05:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [05:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.108 u1: g * m st: NotStopd t0: [05:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [05:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [05:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1024 u1: ... st: NotStopd t0: [05:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1635.78 u1: ... st: NotStopd t0: [05:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 20/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 20/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.9451 u1: ml st: NotStopd t0: [05:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [05:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [05:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [05:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [05:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [05:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 0.8125 vu: ml t0: [05:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [05:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 145 vu: ml
t0: [05:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [06:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.94048 u1: kg x m st: NotStopd t0: [06:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.6875 u1: ... st: NotStopd t0: [06:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.4048 u1: g * m st: NotStopd t0: [06:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.875 u1: g*m/m2 st: NotStopd t0: [06:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [06:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [06:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [06:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1283.33 u1: ... st: NotStopd t0: [06:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2053.33 u1: ... st: NotStopd t0: [06:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.4848 u1: ml st: NotStopd t0: [06:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [06:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [06:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [06:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [06:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [06:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 0 vu: ml t0: [06:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [06:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 20/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [06:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml
t0: [06:00:00 20/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [07:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [07:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [07:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.2832 u1: kg x m st: NotStopd t0: [07:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [07:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.404 u1: g * m st: NotStopd t0: [07:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [07:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [07:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [07:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.875 u1: ... st: NotStopd t0: [07:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1727.27 u1: ... st: NotStopd t0: [07:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2763.64 u1: ... st: NotStopd t0: [07:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 42.7184 u1: ml st: NotStopd t0: [07:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [07:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [07:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [07:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [07:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 21/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Metoprolol v1: 5 u1: mg
t0: [08:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [08:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 20/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 20/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 20/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [08:00:00 20/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [08:00:00 20/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 20/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 20/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: No Understanding st: NotStopd t0: [08:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [08:00:00 20/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 20/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 20/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 20/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 20/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 20/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 20/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 20/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 20/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Moderate st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.52512 u1: kg x m st: NotStopd t0: [08:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [08:00:00 20/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 20/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 20/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 20/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 43.0848 u1: g * m st: NotStopd t0: [08:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.875 u1: g*m/m2 st: NotStopd t0: [08:00:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 20/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 36 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [08:00:00 20/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 20/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 20/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 20/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 20/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 20/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 20/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 27.5 u1: ... st: NotStopd t0: [08:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1377.78 u1: ... st: NotStopd t0: [08:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2204.44 u1: ... st: NotStopd t0: [08:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 20/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 20/07/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 43.9024 u1: ml st: NotStopd t0: [08:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [08:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [08:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [08:00:00 20/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 20/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 20/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 20/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Moist st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 20/07/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 20/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd
t0: [07:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [07:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 0 vu: ml t0: [07:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 60 vu: ml t0: [07:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [08:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [08:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 0 vu: ml t0: [08:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 60 vu: ml t0: [08:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [08:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:20:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [08:20:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:20:00 20/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:20:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:20:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:20:00 20/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.6 st: NotStopd t0: [08:20:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:20:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:20:00 20/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [08:20:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [08:20:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:20:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11.6 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.4 u1: L/min st: NotStopd t0: [08:20:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [08:20:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:20:00 20/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:20:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [08:20:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:20:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:20:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:20:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:20:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:20:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:20:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:20:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:20:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:20:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [08:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [08:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [08:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [08:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:30:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [08:30:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:30:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [08:30:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [08:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [09:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [09:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [09:00:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Other/Remarks st: NotStopd t0: [09:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [09:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.65472 u1: kg x m st: NotStopd t0: [09:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.6875 u1: ... st: NotStopd t0: [09:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 34.0136 u1: g * m st: NotStopd t0: [09:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 21.25 u1: g*m/m2 st: NotStopd t0: [09:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [09:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [09:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [09:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [09:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 25.625 u1: ... st: NotStopd t0: [09:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1075 u1: ... st: NotStopd t0: [09:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1720 u1: ... st: NotStopd t0: [09:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 41.0256 u1: ml st: NotStopd t0: [09:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [09:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [09:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [09:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.2 u1: L/min st: NotStopd
t0: [09:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [09:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 20/07/2016] tf: [11:00:00 20/07/2016] dt: 120 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 3.25 vu: ml t0: [09:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 60 vu: ml t0: [09:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [08:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:05:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:05:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:05:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:05:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:05:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:05:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [09:05:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:05:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 42.9352 u1: g * m st: NotStopd t0: [09:05:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.875 u1: g*m/m2 st: NotStopd t0: [09:05:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [09:05:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:05:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [09:05:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:05:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1725 u1: ... st: NotStopd t0: [09:05:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:05:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [09:05:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:05:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [09:05:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [09:05:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:10:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:10:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [09:10:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [09:10:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:10:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:10:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:10:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:10:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [09:10:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:10:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.60224 u1: kg x m st: NotStopd t0: [09:10:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.875 u1: ... st: NotStopd t0: [09:10:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 60.0848 u1: g * m st: NotStopd t0: [09:10:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 37.5 u1: g*m/m2 st: NotStopd t0: [09:10:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 49 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [09:10:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:10:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [09:10:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:10:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:10:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 29.375 u1: ... st: NotStopd t0: [09:10:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1800 u1: ... st: NotStopd t0: [09:10:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2880 u1: ... st: NotStopd t0: [09:10:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:10:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 46.7532 u1: ml st: NotStopd t0: [09:10:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 72 u1: % st: NotStopd t0: [09:10:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:10:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [09:10:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [09:10:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:10:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd t0: [09:20:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:20:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:20:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.25 u1: ... st: NotStopd t0: [09:20:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:20:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:20:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:20:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:20:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [09:20:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:20:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.52512 u1: kg x m st: NotStopd t0: [09:20:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [09:20:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 46.0224 u1: g * m st: NotStopd t0: [09:20:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: g*m/m2 st: NotStopd t0: [09:20:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:20:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:20:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [09:20:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:20:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [09:20:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 29.375 u1: ... st: NotStopd t0: [09:20:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1422.22 u1: ... st: NotStopd t0: [09:20:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2275.56 u1: ... st: NotStopd t0: [09:20:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:20:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 47.3684 u1: ml st: NotStopd t0: [09:20:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 72 u1: % st: NotStopd t0: [09:20:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:20:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [09:20:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [09:20:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:20:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.6 u1: L/min st: NotStopd
t0: [09:05:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:05:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:10:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:10:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:20:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:20:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [07:00:00 21/07/2016] pt: Unit Dose rt: IV fr: BID fs: 10, 22 dn: 2 m1: Furosemide v1: 40 u1: mg
t0: [10:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [10:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [10:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.08272 u1: kg x m st: NotStopd t0: [10:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [10:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 48.348 u1: g * m st: NotStopd t0: [10:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30 u1: g*m/m2 st: NotStopd t0: [10:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [10:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [10:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.125 u1: ... st: NotStopd t0: [10:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1515.79 u1: ... st: NotStopd t0: [10:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2420.17 u1: ... st: NotStopd t0: [10:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 44.7059 u1: ml st: NotStopd t0: [10:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 71 u1: % st: NotStopd t0: [10:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [10:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [10:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.8 u1: L/min st: NotStopd
t0: [10:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [10:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 1.08333 vu: ml t0: [10:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 28 vu: ml
t0: [10:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
tf: [08:00:00 28/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml
t0: [11:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 6 u1: mmHg st: NotStopd t0: [11:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [11:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [11:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 20/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 2 st: NotStopd t0: [11:00:00 20/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [11:00:00 20/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [11:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.1892 u1: kg x m st: NotStopd t0: [11:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [11:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 38.2704 u1: g * m st: NotStopd t0: [11:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.75 u1: g*m/m2 st: NotStopd t0: [11:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Blood Cultured st: NotStopd t0: [11:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 26.25 u1: ... st: NotStopd t0: [11:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1394.29 u1: ... st: NotStopd t0: [11:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2228.31 u1: ... st: NotStopd t0: [11:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 41.6667 u1: ml st: NotStopd t0: [11:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 61 u1: % st: NotStopd t0: [11:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [11:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [11:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.5 u1: L/min st: NotStopd
t0: [10:00:00 20/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vu: ml st: Stopped t0: [11:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [11:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 0 vu: ml t0: [11:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [11:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:23:00 20/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [11:23:00 20/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
tf: [08:00:00 01/08/2016] pt: IV Piggyback rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Piperacillin-Tazobactam Na v1: 2.25 u1: gm m2: Iso-Osmotic Dextrose v2: 50 u2: ml
t0: [11:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:45:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [11:45:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.625 u1: ... st: NotStopd t0: [11:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:45:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:45:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:45:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:45:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.93488 u1: kg x m st: NotStopd t0: [11:45:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.8125 u1: ... st: NotStopd t0: [11:45:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:45:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 42 u1: mmHg st: NotStopd t0: [11:45:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [11:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [11:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:45:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:45:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 21.875 u1: ... st: NotStopd t0: [11:45:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2061.54 u1: ... st: NotStopd t0: [11:45:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3288.34 u1: ... st: NotStopd t0: [11:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:45:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 35.1351 u1: ml st: NotStopd t0: [11:45:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 45 u1: % st: NotStopd t0: [11:45:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:45:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [11:45:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [11:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:45:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.6 u1: L/min st: NotStopd t0: [11:50:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:50:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [11:50:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.75 u1: ... st: NotStopd t0: [11:50:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:50:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:50:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:50:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [11:50:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:50:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.16064 u1: kg x m st: NotStopd t0: [11:50:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [11:50:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 37.2504 u1: g * m st: NotStopd t0: [11:50:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: g*m/m2 st: NotStopd t0: [11:50:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [11:50:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:50:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [11:50:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:50:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:50:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 20.625 u1: ... st: NotStopd t0: [11:50:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2057.14 u1: ... st: NotStopd t0: [11:50:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3291.43 u1: ... st: NotStopd t0: [11:50:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:50:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 32.9412 u1: ml st: NotStopd t0: [11:50:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 55 u1: % st: NotStopd t0: [11:50:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:50:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [11:50:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [11:50:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:50:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.8 u1: L/min st: NotStopd t0: [11:55:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:55:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.875 u1: ... st: NotStopd t0: [11:55:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:55:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:55:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:55:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:55:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:55:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:55:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.0592 u1: kg x m st: NotStopd t0: [11:55:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [11:55:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 62.3968 u1: g * m st: NotStopd t0: [11:55:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 38.75 u1: g*m/m2 st: NotStopd t0: [11:55:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg st: NotStopd t0: [11:55:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:55:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:55:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [11:55:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2986.67 u1: ... st: NotStopd t0: [11:55:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 4765.96 u1: ... st: NotStopd t0: [11:55:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:55:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 36.5854 u1: ml st: NotStopd t0: [11:55:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 63 u1: % st: NotStopd t0: [11:55:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:55:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [11:55:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [11:55:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:55:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3 u1: L/min st: NotStopd t0: [12:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2 u1: ... st: NotStopd t0: [12:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [12:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.87328 u1: kg x m st: NotStopd t0: [12:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [12:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 47.2056 u1: g * m st: NotStopd t0: [12:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 29.375 u1: g*m/m2 st: NotStopd t0: [12:00:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [12:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Cardiac Echo st: NotStopd t0: [12:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [12:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 24.375 u1: ... st: NotStopd t0: [12:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1900 u1: ... st: NotStopd t0: [12:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3040 u1: ... st: NotStopd t0: [12:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 39.0244 u1: ml st: NotStopd t0: [12:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 68 u1: % st: NotStopd t0: [12:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [12:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [12:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.2 u1: L/min st: NotStopd t0: [12:05:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:05:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [12:05:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.9375 u1: ... st: NotStopd t0: [12:05:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:05:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:05:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:05:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:05:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [12:05:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:05:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.25816 u1: kg x m st: NotStopd t0: [12:05:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [12:05:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 50.8232 u1: g * m st: NotStopd t0: [12:05:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: g*m/m2 st: NotStopd t0: [12:05:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [12:05:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 154 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:05:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [12:05:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:05:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:05:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 23.125 u1: ... st: NotStopd t0: [12:05:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2219.35 u1: ... st: NotStopd t0: [12:05:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3546.39 u1: ... st: NotStopd t0: [12:05:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:05:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 37.3494 u1: ml st: NotStopd t0: [12:05:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 71 u1: % st: NotStopd t0: [12:05:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:05:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [12:05:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [12:05:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:05:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.1 u1: L/min st: NotStopd t0: [12:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [12:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.9375 u1: ... st: NotStopd t0: [12:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [12:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.04736 u1: kg x m st: NotStopd t0: [12:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5 u1: ... st: NotStopd t0: [12:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 45.696 u1: g * m st: NotStopd t0: [12:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.75 u1: g*m/m2 st: NotStopd t0: [12:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [12:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [12:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [12:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [12:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 21.875 u1: ... st: NotStopd t0: [12:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 2090.32 u1: ... st: NotStopd t0: [12:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 3340.21 u1: ... st: NotStopd t0: [12:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 34.8315 u1: ml st: NotStopd t0: [12:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 72 u1: % st: NotStopd t0: [12:15:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:15:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [12:15:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [12:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.1 u1: L/min st: NotStopd
t0: [11:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:50:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:50:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:55:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:55:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:05:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:05:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [12:30:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.0625 u1: ... st: NotStopd t0: [12:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [12:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:30:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.99432 u1: kg x m st: NotStopd t0: [12:30:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.5 u1: ... st: NotStopd t0: [12:30:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 42.364 u1: g * m st: NotStopd t0: [12:30:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.25 u1: g*m/m2 st: NotStopd t0: [12:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 33 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [12:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [12:30:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 21.875 u1: ... st: NotStopd t0: [12:30:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1745.45 u1: ... st: NotStopd t0: [12:30:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2796.12 u1: ... st: NotStopd t0: [12:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:30:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 35.1064 u1: ml st: NotStopd t0: [12:30:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 71 u1: % st: NotStopd t0: [12:30:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:30:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.3 u1: Deg. C st: NotStopd t0: [12:30:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.94 u1: Deg. F st: NotStopd t0: [12:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:30:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.3 u1: L/min st: NotStopd
t0: [12:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 13 vu: ml t0: [12:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 20/07/2016] tf: [14:00:00 20/07/2016] dt: 120 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 4.33333 vu: ml t0: [12:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [12:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 20/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: None st: NotStopd t0: [11:00:00 20/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 20/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 20/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [12:00:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [12:00:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 20/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 20/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 20/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 20/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 20/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 2 st: NotStopd t0: [12:00:00 20/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 20/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Moderate st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 20/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 20/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 20/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 20/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [13:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [13:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 15.6 vu: ml t0: [13:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 1.08333 vu: ml t0: [13:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml
t0: [13:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 st: NotStopd t0: [13:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [13:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [13:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [13:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 103 u1: BPM st: NotStopd t0: [13:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [13:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [13:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [13:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [13:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:45:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [13:45:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [13:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:45:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [13:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:45:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [13:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [14:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 140 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [14:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [14:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:05:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:05:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:05:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:05:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:05:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:05:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [14:05:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:05:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:05:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:05:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:05:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:10:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:10:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:10:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:10:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:10:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:10:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:10:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:10:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 59.3333 u1: mmHg st: NotStopd t0: [14:10:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:10:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [14:10:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:10:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [14:10:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:10:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:15:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [14:15:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [14:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [14:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:05:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:05:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:10:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:10:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Dopamine el: 200 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 20/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 260 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [14:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [14:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [15:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [15:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [15:00:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 100.333 u1: mmHg st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [15:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:15:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [15:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 15.6 vu: ml t0: [14:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 20/07/2016] tf: [20:46:00 20/07/2016] dt: 346 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 0 vu: ml t0: [15:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 14.3 vu: ml t0: [15:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 516 vo: 15.1667 vu: ml t0: [15:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [14:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:15:00 20/07/2016] tf: [08:00:00 26/07/2016] dt: 8205 id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Line Placement st: NotStopd t0: [15:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 36 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [15:15:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Chest Tube In st: NotStopd t0: [15:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [15:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [15:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 48 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [15:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [15:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [15:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:30:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:50:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 26.9 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 35.6 u1: % rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 11.7 u1: gm/dl rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 4.04 u1: /mic l rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 26.9 rs: Final st: NotStopd
t0: [15:45:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 12.8571 u1: ml/cmH st: NotStopd t0: [15:45:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:45:00 20/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [15:45:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [15:45:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [15:45:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [15:45:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:45:00 20/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [15:45:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [15:45:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [15:45:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14.8 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [15:45:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 55 u1: L/m st: NotStopd t0: [15:45:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 36 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:45:00 20/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:45:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:45:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:45:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:45:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [15:45:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [15:45:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [15:45:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: SQUARE st: NotStopd
t0: [14:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:45:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [14:45:00 20/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 100.333 u1: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 42 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [14:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:45:00 20/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [14:45:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [14:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 36 u1: % st: NotStopd t0: [15:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.5 u1: ... st: NotStopd t0: [15:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.08896 u1: kg x m st: NotStopd t0: [15:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.3125 u1: ... st: NotStopd t0: [15:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 20.0192 u1: g * m st: NotStopd t0: [15:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 12.5 u1: g*m/m2 st: NotStopd t0: [15:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 14.375 u1: ... st: NotStopd t0: [15:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1666.67 u1: ... st: NotStopd t0: [15:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2666.67 u1: ... st: NotStopd t0: [15:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 22.6415 u1: ml st: NotStopd t0: [15:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 38 u1: % st: NotStopd t0: [15:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.4 u1: L/min st: NotStopd t0: [15:30:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.625 u1: ... st: NotStopd t0: [15:30:00 20/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [15:30:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.4752 u1: kg x m st: NotStopd t0: [15:30:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.5625 u1: ... st: NotStopd t0: [15:30:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 23.8 u1: g * m st: NotStopd t0: [15:30:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 15 u1: g*m/m2 st: NotStopd t0: [15:30:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 15.625 u1: ... st: NotStopd t0: [15:30:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1353.85 u1: ... st: NotStopd t0: [15:30:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2159.51 u1: ... st: NotStopd t0: [15:30:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 24.7619 u1: ml st: NotStopd t0: [15:30:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 55 u1: % st: NotStopd t0: [15:30:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.6 u1: L/min st: NotStopd t0: [15:30:00 20/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [15:30:00 20/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [15:30:00 20/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [15:30:00 20/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [15:30:00 20/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [15:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:45:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [15:45:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.75 u1: ... st: NotStopd t0: [15:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:45:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:45:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:45:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.24672 u1: kg x m st: NotStopd t0: [15:45:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.375 u1: ... st: NotStopd t0: [15:45:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 22.4672 u1: g * m st: NotStopd t0: [15:45:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 13.75 u1: g*m/m2 st: NotStopd t0: [15:45:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [15:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:45:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [15:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:45:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:45:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 17.5 u1: ... st: NotStopd t0: [15:45:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1114.29 u1: ... st: NotStopd t0: [15:45:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1782.86 u1: ... st: NotStopd t0: [15:45:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 28 u1: ml st: NotStopd t0: [15:45:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 54 u1: % st: NotStopd t0: [15:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:45:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.8 u1: L/min st: NotStopd t0: [15:50:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:50:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 20 u1: mmHg st: NotStopd t0: [15:50:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.75 u1: ... st: NotStopd t0: [15:50:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:50:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:50:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:50:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:50:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [15:50:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:50:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.55136 u1: kg x m st: NotStopd t0: [15:50:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.625 u1: ... st: NotStopd t0: [15:50:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 25.5136 u1: g * m st: NotStopd t0: [15:50:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 16.25 u1: g*m/m2 st: NotStopd t0: [15:50:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [15:50:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:50:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [15:50:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:50:00 20/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [15:50:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:50:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 17.5 u1: ... st: NotStopd t0: [15:50:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1342.86 u1: ... st: NotStopd t0: [15:50:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2148.57 u1: ... st: NotStopd t0: [15:50:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:50:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 27.7228 u1: ml st: NotStopd t0: [15:50:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 53 u1: % st: NotStopd t0: [15:50:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:50:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.8 u1: L/min st: NotStopd
t0: [14:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:45:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:45:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:50:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:50:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:50:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:50:00 20/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 55 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 48 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [14:50:00 20/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
id: Lactated Ringers el: 3 cu: CSRU cg: -1 io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [16:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [16:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.6875 u1: ... st: NotStopd t0: [16:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [16:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [16:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.49696 u1: kg x m st: NotStopd t0: [16:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.5625 u1: ... st: NotStopd t0: [16:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 24.9696 u1: g * m st: NotStopd t0: [16:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 15.625 u1: g*m/m2 st: NotStopd t0: [16:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [16:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 16.875 u1: ... st: NotStopd t0: [16:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1451.85 u1: ... st: NotStopd t0: [16:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2319.53 u1: ... st: NotStopd t0: [16:00:00 20/07/2016] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Fluid Bolus st: NotStopd t0: [16:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 26.7327 u1: ml st: NotStopd t0: [16:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 52 u1: % st: NotStopd t0: [16:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.4 u1: Deg. C st: NotStopd t0: [16:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.12 u1: Deg. F st: NotStopd t0: [16:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.7 u1: L/min st: NotStopd
t0: [16:00:00 20/07/2016] tf: [01:00:00 21/07/2016] dt: 540 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 20/07/2016] id: Lactated Ringers IV Infusions el: 3 cu: CSRU cg: -1 ai: 336 vo: 250 vu: ml t0: [16:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 10.92 vu: ml t0: [16:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 20/07/2016] tf: [15:00:00 22/07/2016] dt: 2820 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [16:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml
t0: [16:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: 3161 pv: 8 cv: 63 ap: none
t0: [16:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [16:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.8125 u1: ... st: NotStopd t0: [16:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [16:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.68192 u1: kg x m st: NotStopd t0: [16:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.6875 u1: ... st: NotStopd t0: [16:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 28.6688 u1: g * m st: NotStopd t0: [16:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 18.125 u1: g*m/m2 st: NotStopd t0: [16:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [16:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [16:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 19.375 u1: ... st: NotStopd t0: [16:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1406.9 u1: ... st: NotStopd t0: [16:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2254.14 u1: ... st: NotStopd t0: [16:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 30.5263 u1: ml st: NotStopd t0: [16:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 58 u1: % st: NotStopd t0: [16:15:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:15:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.4 u1: Deg. C st: NotStopd t0: [16:15:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.12 u1: Deg. F st: NotStopd t0: [16:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.9 u1: L/min st: NotStopd t0: [16:20:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:20:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [16:20:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 1.8125 u1: ... st: NotStopd t0: [16:20:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:20:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:20:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:20:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:20:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [16:20:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:20:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 2.83968 u1: kg x m st: NotStopd t0: [16:20:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.75 u1: ... st: NotStopd t0: [16:20:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 28.3968 u1: g * m st: NotStopd t0: [16:20:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 17.5 u1: g*m/m2 st: NotStopd t0: [16:20:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [16:20:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:20:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [16:20:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:20:00 20/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Cardiac Cath st: NotStopd t0: [16:20:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 18.125 u1: ... st: NotStopd t0: [16:20:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1544.83 u1: ... st: NotStopd t0: [16:20:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2475.14 u1: ... st: NotStopd t0: [16:20:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 29 u1: ml st: NotStopd t0: [16:20:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 58 u1: % st: NotStopd t0: [16:20:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:20:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 2.9 u1: L/min st: NotStopd
t0: [16:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:15:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:20:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:20:00 20/07/2016] id: Propofol el: 1 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:20:00 20/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [08:00:00 21/07/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml tf: [08:00:00 21/07/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Methylprednisolone Na Succ. v1: 60 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [08:00:00 21/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Diphenhydramine HCl v1: 50 u1: mg tf: [09:00:00 25/07/2016] pt: Unit Dose rt: IV fr: X1:PRN m1: Atropine Sulfate v1: 0.5 u1: mg
t0: [20:00:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 16.0714 u1: ml/cmH st: NotStopd t0: [20:00:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [20:00:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [20:00:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 20/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [20:00:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [20:00:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
id: Fentanyl el: 100 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [20:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 20/07/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 37.44 vu: ml t0: [20:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [20:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml
t0: [20:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [20:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:15:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:30:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:30:00 20/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:30:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:30:00 20/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:30:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:30:00 20/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:30:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:30:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:30:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:30:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:30:00 20/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:30:00 20/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:30:00 20/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:30:00 20/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 2 st: NotStopd t0: [20:30:00 20/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:30:00 20/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:30:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:30:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:30:00 20/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:30:00 20/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:30:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:30:00 20/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:30:00 20/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:30:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:30:00 20/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:30:00 20/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:30:00 20/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [20:30:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:30:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:30:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:30:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:30:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:30:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [20:30:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:30:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:30:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:30:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:30:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:30:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:30:00 20/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 20/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:30:00 20/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:29:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 1.875 u1: ... st: NotStopd t0: [20:29:00 20/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 2.96668 u1: L/min st: NotStopd t0: [20:38:00 20/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 340 u1: mmHg rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 163 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [20:46:00 20/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 516 vo: 0 st: D/C'd
t0: [20:29:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2680.85 u1: ... st: NotStopd t0: [20:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:30:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.875 u1: ... st: NotStopd t0: [20:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:30:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1680 u1: ... st: NotStopd t0: [20:30:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2680.85 u1: ... st: NotStopd t0: [20:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [20:45:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:45:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:45:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:45:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.1824 u1: kg x m st: NotStopd t0: [20:45:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [20:45:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.272 u1: g * m st: NotStopd t0: [20:45:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.25 u1: g*m/m2 st: NotStopd t0: [20:45:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [20:45:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:45:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [20:45:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:45:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:45:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 17.5 u1: ... st: NotStopd t0: [20:45:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2246.15 u1: ... st: NotStopd t0: [20:45:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3582.82 u1: ... st: NotStopd t0: [20:45:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:45:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 27.6596 u1: ml st: NotStopd t0: [20:45:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [20:45:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:45:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.6 u1: L/min st: NotStopd
t0: [20:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:30:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:45:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 27.9 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33.3 u1: % rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 27.9 rs: Final st: NotStopd t0: [20:38:00 20/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 15.5139 u1: ml/dl st: NotStopd t0: [20:38:00 20/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 416 u1: ml/min st: NotStopd t0: [20:38:00 20/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 300.8 u1: ml/m/m st: NotStopd t0: [20:38:00 20/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 416 u1: ml/min st: NotStopd t0: [20:38:00 20/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 260 u1: ml/m/m st: NotStopd t0: [20:38:00 20/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 416 u1: ml/min st: NotStopd t0: [20:38:00 20/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 260 u1: ml/m/m st: NotStopd
t0: [21:00:00 20/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [21:00:00 20/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [21:00:00 20/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [21:00:00 20/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 20/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [21:00:00 20/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 20/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [21:00:00 20/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [21:00:00 20/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.4 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [21:00:00 20/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [21:00:00 20/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 20/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:00:00 20/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [21:00:00 20/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 20/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [21:00:00 20/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 20/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [21:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [21:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:15:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:30:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:45:00 20/07/2016] id: Neosynephrine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.83792 u1: kg x m st: NotStopd t0: [21:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 39.508 u1: g * m st: NotStopd t0: [21:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25 u1: g*m/m2 st: NotStopd t0: [21:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.875 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2553.99 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 35.4167 u1: ml st: NotStopd t0: [21:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [21:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.4 u1: L/min st: NotStopd
t0: [21:00:00 20/07/2016] tf: [15:27:00 17/08/2016] dt: 39987 id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [21:00:00 20/07/2016] tf: [00:00:00 05/08/2016] dt: 21780 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 20/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [21:00:00 20/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [21:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [20:45:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.625 u1: ... st: NotStopd t0: [21:00:00 20/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [21:00:00 20/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 20/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [21:00:00 20/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [21:00:00 20/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 20/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:15:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:15:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [21:15:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [21:15:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:15:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:15:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:15:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:15:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:15:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:15:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.83792 u1: kg x m st: NotStopd t0: [21:15:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [21:15:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 38.3792 u1: g * m st: NotStopd t0: [21:15:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [21:15:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [21:15:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:15:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [21:15:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:15:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:15:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.25 u1: ... st: NotStopd t0: [21:15:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [21:15:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2553.99 u1: ... st: NotStopd t0: [21:15:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:15:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 34.3434 u1: ml st: NotStopd t0: [21:15:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [21:15:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:15:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:15:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.4 u1: L/min st: NotStopd
t0: [21:15:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:15:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 20/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 54 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [20:30:00 20/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 26.1 rs: Final st: NotStopd
t0: [22:00:00 20/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [22:00:00 20/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [22:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [22:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 20/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 20/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [22:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.48256 u1: kg x m st: NotStopd t0: [22:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [22:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.4288 u1: g * m st: NotStopd t0: [22:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [22:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [22:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 20/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 20/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 22.5 u1: ... st: NotStopd t0: [22:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2150 u1: ... st: NotStopd t0: [22:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3440 u1: ... st: NotStopd t0: [22:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 36.3636 u1: ml st: NotStopd t0: [22:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [22:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 20/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.2 u1: L/min st: NotStopd
t0: [22:00:00 20/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 20/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [22:00:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 112 vo: 9.36 vu: ml t0: [22:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 20/07/2016] tf: [20:00:00 27/07/2016] dt: 9960 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [22:00:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 20/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 20/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 20/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 20/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 20/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 20/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:30:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:30:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [20:30:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [21:00:00 20/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [21:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [21:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [21:00:00 20/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [21:00:00 20/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [21:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [21:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [21:30:00 20/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [21:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 20/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [21:30:00 20/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [21:30:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [21:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:30:00 20/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [21:30:00 20/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [21:30:00 20/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:30:00 20/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:30:00 20/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [21:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 20/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [21:30:00 20/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [21:30:00 20/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:30:00 20/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [21:30:00 20/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [21:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [21:30:00 20/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable st: NotStopd t0: [21:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 20/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [21:30:00 20/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [21:30:00 20/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:30:00 20/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [21:30:00 20/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:30:00 20/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:30:00 20/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:30:00 20/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [21:30:00 20/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [21:30:00 20/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [21:30:00 20/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:30:00 20/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [22:00:00 20/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [22:00:00 20/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 20/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 20/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 20/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 20/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [22:00:00 20/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 20/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 20/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 20/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 20/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 20/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [22:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [22:00:00 20/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [22:00:00 20/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [22:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [22:30:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:30:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:30:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [22:30:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:30:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:30:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.27352 u1: kg x m st: NotStopd t0: [22:30:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [22:30:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 36.1216 u1: g * m st: NotStopd t0: [22:30:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [22:30:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [22:30:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:30:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:30:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:30:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:30:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20 u1: ... st: NotStopd t0: [22:30:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1903.45 u1: ... st: NotStopd t0: [22:30:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3049.72 u1: ... st: NotStopd t0: [22:30:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:30:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 32.2222 u1: ml st: NotStopd t0: [22:30:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [22:30:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:30:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [22:30:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [22:30:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.9 u1: L/min st: NotStopd
t0: [22:00:00 20/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml
t0: [21:30:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:30:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:30:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 20/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 20/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [22:31:00 20/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [20:45:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [20:45:00 20/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [20:45:00 20/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [20:45:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [21:15:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [21:15:00 20/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN u1: Deg. C st: NotStopd t0: [21:15:00 20/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN u1: Deg. F st: NotStopd t0: [21:15:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [23:00:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [23:00:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [23:00:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [23:00:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [23:00:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [23:00:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [23:00:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:15:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 20/07/2016] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [06:00:00 21/07/2016] pt: Unit Dose rt: IV fr: ASDIR m1: Acetazolamide v1: 250 u1: mg tf: [07:00:00 21/07/2016] pt: Unit Dose rt: IV fr: ASDIR m1: Acetazolamide v1: 250 u1: mg tf: [08:00:00 21/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Metoprolol v1: 5 u1: mg tf: [09:00:00 25/07/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [23:00:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [23:00:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:00:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:00:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.522 u1: kg x m st: NotStopd t0: [23:00:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [23:00:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.388 u1: g * m st: NotStopd t0: [23:00:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [23:00:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.375 u1: ... st: NotStopd t0: [23:00:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1828.57 u1: ... st: NotStopd t0: [23:00:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2922.37 u1: ... st: NotStopd t0: [23:00:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 38.8889 u1: ml st: NotStopd t0: [23:00:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [23:00:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.5 u1: L/min st: NotStopd
t0: [23:00:00 20/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml t0: [23:00:00 20/07/2016] tf: [02:00:00 21/07/2016] dt: 180 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.8 vu: ml t0: [23:00:00 20/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 20/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [23:00:00 20/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 8 vu: ml t0: [23:00:00 20/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 37 vu: ml
t0: [20:30:00 20/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [22:00:00 20/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 20/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd
t0: [23:05:00 20/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:05:00 20/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [23:05:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [23:05:00 20/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:05:00 20/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:05:00 20/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [23:05:00 20/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:05:00 20/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [23:05:00 20/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:05:00 20/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.78624 u1: kg x m st: NotStopd t0: [23:05:00 20/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [23:05:00 20/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.0848 u1: g * m st: NotStopd t0: [23:05:00 20/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [23:05:00 20/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [23:05:00 20/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:05:00 20/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:05:00 20/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:05:00 20/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:05:00 20/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 20.625 u1: ... st: NotStopd t0: [23:05:00 20/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2124.14 u1: ... st: NotStopd t0: [23:05:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3403.31 u1: ... st: NotStopd t0: [23:05:00 20/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:05:00 20/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 32.9545 u1: ml st: NotStopd t0: [23:05:00 20/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [23:05:00 20/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:05:00 20/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [23:05:00 20/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [23:05:00 20/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:05:00 20/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.9 u1: L/min st: NotStopd
t0: [23:05:00 20/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:05:00 20/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:30:00 20/07/2016] id: Differential-Bands Hematology el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [20:30:00 20/07/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 72 rs: Final st: NotStopd
t0: [23:26:00 20/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.7076 u1: ml/dl st: NotStopd t0: [23:26:00 20/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 435 u1: ml/min st: NotStopd t0: [23:26:00 20/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 271.5 u1: ml/m/m st: NotStopd t0: [23:26:00 20/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 435 u1: ml/min st: NotStopd t0: [23:26:00 20/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 271.875 u1: ml/m/m st: NotStopd t0: [23:26:00 20/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 435 u1: ml/min st: NotStopd t0: [23:26:00 20/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 271.875 u1: ml/m/m st: NotStopd t0: [23:26:00 20/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [23:26:00 20/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [00:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.75 u1: ... st: NotStopd t0: [00:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [00:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.08448 u1: kg x m st: NotStopd t0: [00:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.9375 u1: ... st: NotStopd t0: [00:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 38.556 u1: g * m st: NotStopd t0: [00:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.375 u1: g*m/m2 st: NotStopd t0: [00:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [00:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [00:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 21.875 u1: ... st: NotStopd t0: [00:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1800 u1: ... st: NotStopd t0: [00:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2880 u1: ... st: NotStopd t0: [00:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 35 u1: ml st: NotStopd t0: [00:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [00:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [00:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [00:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.8 u1: L/min st: NotStopd
t0: [00:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [23:53:00 20/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [00:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 9.5875 vu: ml t0: [00:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [00:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 44 vu: ml
t0: [23:00:00 21/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 21/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1025 ap: none t0: [23:00:00 21/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 60 cv: 1047 ap: none
id: Midazolam el: 100 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip id: Dopamine el: 300 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mg rt: IV Drip
io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ra: 2 ru: ml/hr
id: D5W el: 3 cu: CSRU cg: RN io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [00:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml nb: 1
t0: [00:00:00 21/07/2016] tf: [15:27:00 17/08/2016] dt: 39807 id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:05:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:05:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:05:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.875 u1: ... st: NotStopd t0: [00:05:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:05:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:05:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:05:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:05:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:05:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:05:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.3456 u1: kg x m st: NotStopd t0: [00:05:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [00:05:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.3776 u1: g * m st: NotStopd t0: [00:05:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.25 u1: g*m/m2 st: NotStopd t0: [00:05:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [00:05:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:05:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:05:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:05:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:05:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.75 u1: ... st: NotStopd t0: [00:05:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1733.33 u1: ... st: NotStopd t0: [00:05:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2765.96 u1: ... st: NotStopd t0: [00:05:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:05:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 38.4615 u1: ml st: NotStopd t0: [00:05:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 56 u1: % st: NotStopd t0: [00:05:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:05:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3 u1: L/min st: NotStopd
t0: [00:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:05:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:05:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:05:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:55:00 20/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.875 u1: ... st: NotStopd t0: [23:55:00 20/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2680.85 u1: ... st: NotStopd t0: [23:55:00 20/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 3.04289 u1: L/min st: NotStopd
t0: [23:00:00 20/07/2016] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 35 rs: Final st: NotStopd
t0: [00:30:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:30:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [00:30:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.75 u1: ... st: NotStopd t0: [00:30:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:30:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:30:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.70368 u1: kg x m st: NotStopd t0: [00:30:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.6875 u1: ... st: NotStopd t0: [00:30:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 37.6584 u1: g * m st: NotStopd t0: [00:30:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [00:30:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [00:30:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:30:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [00:30:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:30:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:30:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 24.375 u1: ... st: NotStopd t0: [00:30:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1542.86 u1: ... st: NotStopd t0: [00:30:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2468.57 u1: ... st: NotStopd t0: [00:30:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:30:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 38.8889 u1: ml st: NotStopd t0: [00:30:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 54 u1: % st: NotStopd t0: [00:30:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:30:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:30:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [00:30:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:30:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.8 u1: L/min st: NotStopd
t0: [00:30:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:30:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:30:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 1.6875 u1: ... st: NotStopd t0: [01:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.27664 u1: kg x m st: NotStopd t0: [01:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.4375 u1: ... st: NotStopd t0: [01:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 32.0416 u1: g * m st: NotStopd t0: [01:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 20 u1: g*m/m2 st: NotStopd t0: [01:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 23.75 u1: ... st: NotStopd t0: [01:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1333.33 u1: ... st: NotStopd t0: [01:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2130.18 u1: ... st: NotStopd t0: [01:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 38.0282 u1: ml st: NotStopd t0: [01:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 55 u1: % st: NotStopd t0: [01:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [01:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [01:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 2.7 u1: L/min st: NotStopd
t0: [01:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 3.0875 vu: ml t0: [01:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 0 vu: ml nb: 1 t0: [01:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [01:00:00 21/07/2016] tf: [05:00:00 25/07/2016] dt: 6000 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [01:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -45.5 cv: -45.5 ap: none t0: [23:00:00 21/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 14.5 cv: 1208.76 ap: none t0: [23:00:00 21/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 14.5 cv: 1208.76 ap: none t0: [23:00:00 21/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -45.5 cv: 161.758 ap: none t0: [23:00:00 21/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -45.5 cv: 3209.77 ap: carryForward
t0: [01:00:00 21/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.5 u1: ml/cmH st: NotStopd t0: [01:00:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [01:00:00 21/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [01:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [01:00:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [01:00:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [01:00:00 21/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [01:00:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [01:00:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [01:00:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [01:00:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 21/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 3.26024 u1: L/min st: NotStopd
t0: [01:00:00 21/07/2016] id: Lactated Ringers IV Infusions el: 3 cu: CSRU cg: -1 ai: 336 vo: 0 st: D/C'd
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [01:05:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:05:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [01:05:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:05:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:05:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:05:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:05:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [01:05:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:05:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 29.9744 u1: g * m st: NotStopd t0: [01:05:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 18.75 u1: g*m/m2 st: NotStopd t0: [01:05:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:05:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:05:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [01:05:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:05:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:05:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1244.44 u1: ... st: NotStopd t0: [01:05:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:05:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:01:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: -1 ai: 115 vo: 0 st: D/C'd
t0: [01:05:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:05:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:05:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:30:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:30:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [01:30:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:30:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.56768 u1: kg x m st: NotStopd t0: [01:30:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.625 u1: ... st: NotStopd t0: [01:30:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 39.3176 u1: g * m st: NotStopd t0: [01:30:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.375 u1: g*m/m2 st: NotStopd t0: [01:30:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [01:30:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:30:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [01:30:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:30:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [01:30:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 975 u1: ... st: NotStopd t0: [01:30:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1560 u1: ... st: NotStopd t0: [01:30:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:30:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.2308 u1: ml st: NotStopd t0: [01:30:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:30:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [01:30:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [01:30:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:30:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.2 u1: L/min st: NotStopd
t0: [01:30:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:30:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:30:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:30:00 21/07/2016] tf: [08:00:00 22/07/2016] dt: 1830 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 500 vu: ml
t0: [00:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 21/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 21/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 21/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [00:00:00 21/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 21/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 21/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 21/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 21/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 21/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 21/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 21/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Sluggish st: NotStopd t0: [00:00:00 21/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [00:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 21/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 21/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 21/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 21/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [00:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [00:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd
t0: [00:00:00 21/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [02:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [02:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.125 u1: ... st: NotStopd t0: [02:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 21/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [02:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.68192 u1: kg x m st: NotStopd t0: [02:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.6875 u1: ... st: NotStopd t0: [02:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 38.6512 u1: g * m st: NotStopd t0: [02:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.375 u1: g*m/m2 st: NotStopd t0: [02:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [02:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 21/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 21/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt v2: IV Gtt st: NotStopd t0: [02:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [02:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [02:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 988.235 u1: ... st: NotStopd t0: [02:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1577.46 u1: ... st: NotStopd t0: [02:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.2754 u1: ml st: NotStopd t0: [02:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [02:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [02:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [02:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.4 u1: L/min st: NotStopd
t0: [02:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [02:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5.41667 vu: ml t0: [02:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 44 vu: ml t0: [02:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.166667 vu: ml
t0: [01:05:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:45:00 21/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd t0: [01:45:00 21/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.1 u1: % rs: Final st: NotStopd t0: [01:45:00 21/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [01:45:00 21/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [01:45:00 21/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.01 u1: /mic l rs: Final st: NotStopd t0: [01:45:00 21/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.5 rs: Final st: NotStopd
t0: [01:30:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [01:30:00 21/07/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Fluid Bolus st: NotStopd t0: [01:30:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [02:30:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [02:30:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [02:30:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:30:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [02:30:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.88864 u1: kg x m st: NotStopd t0: [02:30:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.8125 u1: ... st: NotStopd t0: [02:30:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 37.7128 u1: g * m st: NotStopd t0: [02:30:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 23.75 u1: g*m/m2 st: NotStopd t0: [02:30:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [02:30:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [02:30:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [02:30:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:30:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:30:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [02:30:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 955.556 u1: ... st: NotStopd t0: [02:30:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1528.89 u1: ... st: NotStopd t0: [02:30:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:30:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.7532 u1: ml st: NotStopd t0: [02:30:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [02:30:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:30:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [02:30:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [02:30:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:30:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd
t0: [01:00:00 21/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [02:30:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:30:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:30:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [03:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [03:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.332 u1: kg x m st: NotStopd t0: [03:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.0625 u1: ... st: NotStopd t0: [03:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.84 u1: g * m st: NotStopd t0: [03:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [03:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [03:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [03:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1188.57 u1: ... st: NotStopd t0: [03:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1899.54 u1: ... st: NotStopd t0: [03:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.8718 u1: ml st: NotStopd t0: [03:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [03:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [03:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [03:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.5 u1: L/min st: NotStopd
t0: [03:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [03:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [03:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [03:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1 vu: ml
t0: [03:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [04:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3125 u1: ... st: NotStopd t0: [04:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [04:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.92496 u1: kg x m st: NotStopd t0: [04:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [04:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.8576 u1: g * m st: NotStopd t0: [04:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.25 u1: g*m/m2 st: NotStopd t0: [04:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 21/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 21/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [04:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1427.03 u1: ... st: NotStopd t0: [04:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [04:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.8354 u1: ml st: NotStopd t0: [04:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [04:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [04:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [04:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd
t0: [04:00:00 21/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [04:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [04:00:00 21/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 7 vu: ml t0: [04:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 37 vu: ml t0: [04:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 1 vu: ml
t0: [04:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 21/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 22 ap: none
t0: [04:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 21/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 21/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 21/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [04:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 21/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [04:00:00 21/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 21/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 21/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 2 st: NotStopd t0: [04:00:00 21/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 21/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Scant st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 21/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 21/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 21/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 21/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [04:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Hoyer st: NotStopd t0: [04:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [04:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: No Movement st: NotStopd t0: [04:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [04:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 21/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 21/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 21/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 21/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 21/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 21/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [04:00:00 21/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [04:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [04:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [04:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [04:27:00 21/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [04:27:00 21/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:30:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:30:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:30:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [04:30:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:30:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:30:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [04:30:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:30:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [04:30:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:30:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.79072 u1: kg x m st: NotStopd t0: [04:30:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.75 u1: ... st: NotStopd t0: [04:30:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.636 u1: g * m st: NotStopd t0: [04:30:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [04:30:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:30:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [04:30:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [04:30:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:30:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:30:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [04:30:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1111.11 u1: ... st: NotStopd t0: [04:30:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1777.78 u1: ... st: NotStopd t0: [04:30:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:30:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.3846 u1: ml st: NotStopd t0: [04:30:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [04:30:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:30:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [04:30:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [04:30:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:30:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd
t0: [04:30:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:30:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:30:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:30:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 21/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [05:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [05:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [05:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.98656 u1: kg x m st: NotStopd t0: [05:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.875 u1: ... st: NotStopd t0: [05:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.9688 u1: g * m st: NotStopd t0: [05:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.5 u1: g*m/m2 st: NotStopd t0: [05:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [05:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [05:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [05:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [05:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1920 u1: ... st: NotStopd t0: [05:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.9412 u1: ml st: NotStopd t0: [05:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [05:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [05:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [05:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd
t0: [05:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 3.75 vu: ml t0: [05:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 22 vu: ml t0: [05:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.75 vu: ml
t0: [05:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 21/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [05:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [04:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 21/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Diff to Palpate st: NotStopd
t0: [05:00:00 21/07/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [05:00:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 29 st: NotStopd t0: [05:00:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [05:00:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [05:00:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6 u1: L/min st: NotStopd t0: [05:00:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:00:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 21/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 21/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:00:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:30:00 21/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.2 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.7 u1: % rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.29 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.2 rs: Final st: NotStopd t0: [04:27:00 21/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.0666 u1: ml/dl st: NotStopd t0: [04:27:00 21/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [04:27:00 21/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 300.3 u1: ml/m/m st: NotStopd t0: [04:27:00 21/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [04:27:00 21/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 300.625 u1: ml/m/m st: NotStopd t0: [04:27:00 21/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [04:27:00 21/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 300.625 u1: ml/m/m st: NotStopd
t0: [03:30:00 21/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 58 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 427 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 6.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [03:30:00 21/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd
t0: [06:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.25 u1: ... st: NotStopd t0: [06:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.47616 u1: kg x m st: NotStopd t0: [06:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.1875 u1: ... st: NotStopd t0: [06:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 43.452 u1: g * m st: NotStopd t0: [06:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.875 u1: g*m/m2 st: NotStopd t0: [06:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [06:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 21/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 21/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [06:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [06:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1422.22 u1: ... st: NotStopd t0: [06:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2275.56 u1: ... st: NotStopd t0: [06:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45 u1: ml st: NotStopd t0: [06:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [06:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [06:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [06:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.6 u1: L/min st: NotStopd
t0: [06:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [06:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [06:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 33 vu: ml t0: [06:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [06:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:10:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:10:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:10:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:10:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:10:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:10:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:10:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Trendelenberg st: NotStopd t0: [01:10:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [01:10:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:10:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 27.3904 u1: g * m st: NotStopd t0: [01:10:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 16.875 u1: g*m/m2 st: NotStopd t0: [01:10:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [01:10:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [01:10:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [01:10:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:10:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:10:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1066.67 u1: ... st: NotStopd t0: [01:10:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:10:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:20:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:20:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:20:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:20:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:20:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:20:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:20:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:20:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:20:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 39.984 u1: g * m st: NotStopd t0: [01:20:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25 u1: g*m/m2 st: NotStopd t0: [01:20:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [01:20:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:20:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [01:20:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:20:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:20:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1000 u1: ... st: NotStopd t0: [01:20:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:20:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:10:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:10:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:10:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:10:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:20:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:20:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:20:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:20:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:29:00 20/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 56 rs: Final st: NotStopd t0: [23:55:00 20/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 53 rs: Manual st: NotStopd t0: [00:30:00 21/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 57 rs: Manual st: NotStopd
t0: [05:00:00 21/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 63 rs: Manual st: NotStopd t0: [05:00:00 21/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 4.35142 u1: L/min st: NotStopd
t0: [07:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [07:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.182 u1: kg x m st: NotStopd t0: [07:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [07:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.04 u1: g * m st: NotStopd t0: [07:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [07:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [07:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [07:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [07:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1326.83 u1: ... st: NotStopd t0: [07:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2125 u1: ... st: NotStopd t0: [07:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.8987 u1: ml st: NotStopd t0: [07:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [07:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [07:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [07:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [07:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [07:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [07:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [07:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [07:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 21/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.125 u1: ml/cmH st: NotStopd t0: [07:00:00 21/07/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 21/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [07:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:00:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3 st: NotStopd t0: [07:00:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:00:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:00:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [07:00:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [07:00:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [07:00:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.7 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [07:00:00 21/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [07:00:00 21/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [07:00:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [07:00:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [07:00:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [07:00:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [07:00:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [07:00:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [07:00:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.1875 u1: ... st: NotStopd t0: [08:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [08:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 21/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 21/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [08:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Doppler st: NotStopd t0: [08:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Commun Barrier st: NotStopd t0: [08:00:00 21/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [08:00:00 21/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 21/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 21/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: No Understanding st: NotStopd t0: [08:00:00 21/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [08:00:00 21/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 21/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [08:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [08:00:00 21/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 21/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 21/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 21/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 2 st: NotStopd t0: [08:00:00 21/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 21/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 21/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 21/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 21/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [08:00:00 21/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 21/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.808 u1: kg x m st: NotStopd t0: [08:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.375 u1: ... st: NotStopd t0: [08:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 51.136 u1: g * m st: NotStopd t0: [08:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: g*m/m2 st: NotStopd t0: [08:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [08:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 v1: Clean and Dry st: NotStopd t0: [08:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 v1: Transparent st: NotStopd t0: [08:00:00 21/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: -1 v1: L Femoral st: NotStopd t0: [08:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [08:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 21/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 21/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: No Movement st: NotStopd t0: [08:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [08:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 29.375 u1: ... st: NotStopd t0: [08:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1577.14 u1: ... st: NotStopd t0: [08:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2520.55 u1: ... st: NotStopd t0: [08:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 21/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 21/07/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 46.6667 u1: ml st: NotStopd t0: [08:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [08:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [08:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [08:00:00 21/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 21/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 21/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [08:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.5 u1: L/min st: NotStopd t0: [08:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [08:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [08:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [08:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [08:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [08:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [08:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:30:00 21/07/2016] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd
t0: [10:00:00 21/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [10:00:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [10:00:00 21/07/2016] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [10:00:00 21/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [10:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:00:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3 st: NotStopd t0: [10:00:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:00:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.4 u1: Deg. C st: NotStopd t0: [10:00:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [10:00:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [10:00:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [10:00:00 21/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [10:00:00 21/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [10:00:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [10:00:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 21/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [10:00:00 21/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [10:00:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [10:00:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [10:00:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [10:00:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [10:00:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [09:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [09:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [09:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.90688 u1: kg x m st: NotStopd t0: [09:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.0625 u1: ... st: NotStopd t0: [09:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 64.6272 u1: g * m st: NotStopd t0: [09:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 40.625 u1: g*m/m2 st: NotStopd t0: [09:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [09:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 138 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [09:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [09:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.75 u1: ... st: NotStopd t0: [09:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1443.9 u1: ... st: NotStopd t0: [09:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2312.5 u1: ... st: NotStopd t0: [09:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 53.9474 u1: ml st: NotStopd t0: [09:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [09:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [09:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [09:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd t0: [10:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.5625 u1: ... st: NotStopd t0: [10:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.4608 u1: kg x m st: NotStopd t0: [10:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.8125 u1: ... st: NotStopd t0: [10:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 53.312 u1: g * m st: NotStopd t0: [10:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: g*m/m2 st: NotStopd t0: [10:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [10:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [10:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.625 u1: ... st: NotStopd t0: [10:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1365.85 u1: ... st: NotStopd t0: [10:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2187.5 u1: ... st: NotStopd t0: [10:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 48.8095 u1: ml st: NotStopd t0: [10:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [10:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [10:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [10:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.1 u1: L/min st: NotStopd
t0: [09:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [09:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [09:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml t0: [10:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [10:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [10:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [10:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [09:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [10:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.4375 u1: ... st: NotStopd t0: [11:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.2432 u1: kg x m st: NotStopd t0: [11:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.625 u1: ... st: NotStopd t0: [11:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 56.576 u1: g * m st: NotStopd t0: [11:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 35.625 u1: g*m/m2 st: NotStopd t0: [11:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [11:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 32.5 u1: ... st: NotStopd t0: [11:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1476.92 u1: ... st: NotStopd t0: [11:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2360.66 u1: ... st: NotStopd t0: [11:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52 u1: ml st: NotStopd t0: [11:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 66 u1: % st: NotStopd t0: [11:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [11:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [11:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 3.9 u1: L/min st: NotStopd
t0: [11:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [11:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [11:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [11:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [11:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 21/07/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [12:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [12:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [12:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.60768 u1: kg x m st: NotStopd t0: [12:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.875 u1: ... st: NotStopd t0: [12:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 56.5488 u1: g * m st: NotStopd t0: [12:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 35.625 u1: g*m/m2 st: NotStopd t0: [12:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 25 u1: mmHg v2: 9 u2: mmHg st: NotStopd t0: [12:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 21/07/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Gtt st: NotStopd t0: [12:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [12:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.75 u1: ... st: NotStopd t0: [12:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1327.27 u1: ... st: NotStopd t0: [12:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2123.64 u1: ... st: NotStopd t0: [12:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 54.321 u1: ml st: NotStopd t0: [12:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 70 u1: % st: NotStopd t0: [12:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [12:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [12:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd
t0: [12:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [12:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [12:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [11:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 21/07/2016] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 21/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 21/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [13:02:00 21/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd
t0: [13:02:00 21/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 117 u1: mmHg rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [13:02:00 21/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.07 rs: Final st: NotStopd
t0: [12:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [13:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd
t0: [13:02:00 21/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.7 rs: Final st: NotStopd
t0: [08:00:00 21/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [10:00:00 21/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [13:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [13:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml t0: [14:00:00 21/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [14:00:00 21/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: -1 vo: 5 vu: ml t0: [14:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [14:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [13:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [13:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [13:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [14:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0184 u1: kg x m st: NotStopd t0: [14:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [14:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.976 u1: g * m st: NotStopd t0: [14:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [14:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [14:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [14:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [14:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2562.5 u1: ... st: NotStopd t0: [14:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.3976 u1: ml st: NotStopd t0: [14:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [14:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.4 u1: Deg. C st: NotStopd t0: [14:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.32 u1: Deg. F st: NotStopd t0: [14:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [13:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 21/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 69 rs: Manual st: NotStopd
t0: [13:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd
t0: [13:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.9375 u1: ... st: NotStopd t0: [13:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1378.72 u1: ... st: NotStopd t0: [13:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2204.08 u1: ... st: NotStopd t0: [13:00:00 21/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: -1 v1: 10.5 u1: gm/dl rs: Manual st: NotStopd t0: [13:00:00 21/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: -1 v1: 99 u1: % rs: Manual st: NotStopd t0: [13:00:00 21/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: -1 v1: 4.73821 u1: L/min st: NotStopd t0: [13:02:00 21/07/2016] id: CaO2 el: 0 cu: CSRU cg: -1 v1: 14.292 u1: ml/dl st: NotStopd t0: [13:02:00 21/07/2016] id: DO2I el: 0 cu: CSRU cg: -1 v1: 411.6 u1: ml/m/m st: NotStopd
t0: [12:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [12:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [12:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: -1 v1: L Femoral st: NotStopd t0: [12:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd t0: [15:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.75 u1: ... st: NotStopd t0: [15:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [15:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [15:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.14624 u1: kg x m st: NotStopd t0: [15:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.1875 u1: ... st: NotStopd t0: [15:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 56.1408 u1: g * m st: NotStopd t0: [15:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 35 u1: g*m/m2 st: NotStopd t0: [15:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [15:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [15:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 30 u1: ... st: NotStopd t0: [15:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1436.36 u1: ... st: NotStopd t0: [15:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2298.18 u1: ... st: NotStopd t0: [15:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 47.8261 u1: ml st: NotStopd t0: [15:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [15:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.4 u1: Deg. C st: NotStopd t0: [15:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.32 u1: Deg. F st: NotStopd t0: [15:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.4 u1: L/min st: NotStopd
t0: [15:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [15:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0.5 vu: ml
t0: [15:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 21/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [12:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [12:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [12:00:00 21/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 21/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 21/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 21/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 2 st: NotStopd t0: [12:00:00 21/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [12:00:00 21/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [12:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [12:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [14:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 21/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [15:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [16:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.8125 u1: ... st: NotStopd t0: [16:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [16:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 21/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: H2 Blocker st: NotStopd t0: [16:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [16:00:00 21/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [16:00:00 21/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [16:00:00 21/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 21/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [16:00:00 21/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [16:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 21/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 21/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction st: NotStopd t0: [16:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 26 st: NotStopd t0: [16:00:00 21/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 21/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 21/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 21/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 21/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 2 st: NotStopd t0: [16:00:00 21/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [16:00:00 21/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 21/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 21/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 21/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serosanguinous v2: Small st: NotStopd t0: [16:00:00 21/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [16:00:00 21/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 21/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.4468 u1: kg x m st: NotStopd t0: [16:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.375 u1: ... st: NotStopd t0: [16:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 61.7304 u1: g * m st: NotStopd t0: [16:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 38.75 u1: g*m/m2 st: NotStopd t0: [16:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 v1: Clean and Dry st: NotStopd t0: [16:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 v1: Transparent st: NotStopd t0: [16:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: -1 v1: L Femoral st: NotStopd t0: [16:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [16:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [16:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 21/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 31.875 u1: ... st: NotStopd t0: [16:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1457.78 u1: ... st: NotStopd t0: [16:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2334.52 u1: ... st: NotStopd t0: [16:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 21/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 50.5618 u1: ml st: NotStopd t0: [16:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 70 u1: % st: NotStopd t0: [16:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.5 u1: Deg. C st: NotStopd t0: [16:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.5 u1: Deg. F st: NotStopd t0: [16:00:00 21/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 21/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.5 u1: L/min st: NotStopd t0: [16:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [16:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [16:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [16:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [15:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [16:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [16:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [16:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 1 vu: ml
t0: [15:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Restless st: NotStopd t0: [16:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Restless st: NotStopd
t0: [16:00:00 21/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.125 u1: ml/cmH st: NotStopd t0: [16:00:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 21/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3 st: NotStopd t0: [16:00:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [16:00:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [16:00:00 21/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 21/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:00:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:00:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.9375 u1: ... st: NotStopd t0: [17:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 6.00848 u1: kg x m st: NotStopd t0: [17:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.75 u1: ... st: NotStopd t0: [17:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 67.7552 u1: g * m st: NotStopd t0: [17:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 42.5 u1: g*m/m2 st: NotStopd t0: [17:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [17:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 21/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [17:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [17:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 33.125 u1: ... st: NotStopd t0: [17:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1395.74 u1: ... st: NotStopd t0: [17:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2231.29 u1: ... st: NotStopd t0: [17:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 52.809 u1: ml st: NotStopd t0: [17:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 67 u1: % st: NotStopd t0: [17:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.2 u1: Deg. C st: NotStopd t0: [17:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 98.96 u1: Deg. F st: NotStopd t0: [17:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.7 u1: L/min st: NotStopd
t0: [17:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 2.5 vu: ml t0: [17:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [17:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 1 vu: ml
t0: [17:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [11:00:00 21/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [11:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 21/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 21/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [17:00:00 21/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [17:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 21/07/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [17:00:00 21/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [17:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [18:00:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [19:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [19:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.5696 u1: kg x m st: NotStopd t0: [19:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [19:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.84 u1: g * m st: NotStopd t0: [19:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [19:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [19:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [19:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [19:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1352.38 u1: ... st: NotStopd t0: [19:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2159.7 u1: ... st: NotStopd t0: [19:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.2632 u1: ml st: NotStopd t0: [19:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [19:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [19:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [19:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [19:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [19:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [19:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [19:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.6875 u1: ... st: NotStopd t0: [18:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [18:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.79536 u1: kg x m st: NotStopd t0: [18:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3 u1: ... st: NotStopd t0: [18:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: -1 v1: 62.4512 u1: g * m st: NotStopd t0: [18:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 38.75 u1: g*m/m2 st: NotStopd t0: [18:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 26 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [18:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: -1 v1: 35 u1: ... st: NotStopd t0: [18:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: -1 v1: 1376.74 u1: ... st: NotStopd t0: [18:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: -1 v1: 2200.74 u1: ... st: NotStopd t0: [18:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 55.8442 u1: ml st: NotStopd t0: [18:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 v1: 68 u1: % st: NotStopd t0: [18:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [18:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.3 u1: Deg. C st: NotStopd t0: [18:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.14 u1: Deg. F st: NotStopd t0: [18:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.3 u1: L/min st: NotStopd
t0: [17:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [18:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd
t0: [18:00:00 21/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [19:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [20:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [20:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.182 u1: kg x m st: NotStopd t0: [20:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [20:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [20:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.625 u1: g*m/m2 st: NotStopd t0: [20:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [20:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [20:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1287.8 u1: ... st: NotStopd t0: [20:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2062.5 u1: ... st: NotStopd t0: [20:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.1644 u1: ml st: NotStopd t0: [20:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [20:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [20:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [20:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.06 u1: Deg. F st: NotStopd
t0: [20:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [20:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [20:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [20:00:00 21/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 21/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:35:00 21/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25.2809 u1: ml/cmH st: NotStopd t0: [20:35:00 21/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:35:00 21/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:35:00 21/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:35:00 21/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:35:00 21/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.4 st: NotStopd t0: [20:35:00 21/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:35:00 21/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:35:00 21/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.7 u1: Deg. C st: NotStopd t0: [20:35:00 21/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [20:35:00 21/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:35:00 21/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.7 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [20:35:00 21/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:35:00 21/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:35:00 21/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22.8 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19.6 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:35:00 21/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:35:00 21/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:35:00 21/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:35:00 21/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:35:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [20:35:00 21/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:35:00 21/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:35:00 21/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [20:35:00 21/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:35:00 21/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:35:00 21/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [21:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [21:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.73688 u1: kg x m st: NotStopd t0: [21:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [21:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.096 u1: g * m st: NotStopd t0: [21:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [21:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [21:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [21:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [21:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1376.74 u1: ... st: NotStopd t0: [21:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2200.74 u1: ... st: NotStopd t0: [21:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.7222 u1: ml st: NotStopd t0: [21:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [21:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [21:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [21:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [21:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [21:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [21:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [22:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [22:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [22:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.29352 u1: kg x m st: NotStopd t0: [22:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [22:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.596 u1: g * m st: NotStopd t0: [22:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [22:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [22:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [22:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [22:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1365.85 u1: ... st: NotStopd t0: [22:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2187.5 u1: ... st: NotStopd t0: [22:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.6667 u1: ml st: NotStopd t0: [22:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [22:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [22:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [22:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [22:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [22:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [22:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [22:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml nb: 1
t0: [23:00:00 21/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [20:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 21/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 21/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 21/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 21/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 21/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 21/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [20:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 21/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 21/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 21/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 21/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [20:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 21/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [20:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [23:00:00 21/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 21/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 21/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [23:00:00 21/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 21/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [23:00:00 21/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 21/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.03512 u1: kg x m st: NotStopd t0: [23:00:00 21/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [23:00:00 21/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.304 u1: g * m st: NotStopd t0: [23:00:00 21/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35 u1: g*m/m2 st: NotStopd t0: [23:00:00 21/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [23:00:00 21/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [23:00:00 21/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 21/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 21/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [23:00:00 21/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1153.49 u1: ... st: NotStopd t0: [23:00:00 21/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1843.87 u1: ... st: NotStopd t0: [23:00:00 21/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 21/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.7222 u1: ml st: NotStopd t0: [23:00:00 21/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [23:00:00 21/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 21/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [23:00:00 21/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [23:00:00 21/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 21/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [23:00:00 21/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 21/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [23:00:00 21/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [23:00:00 21/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [23:00:00 21/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 21/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 21/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 21/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 21/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [20:00:00 21/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [19:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 21/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 21/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 21/07/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [20:00:00 21/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 21/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 21/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 21/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 21/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 21/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [20:00:00 21/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 21/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 21/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 21/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 21/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 21/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 21/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 21/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 21/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 21/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 21/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 21/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 21/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 21/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 21/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 21/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 21/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 21/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [20:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 21/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 2 st: NotStopd t0: [20:00:00 21/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 21/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [23:26:00 21/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [23:26:00 21/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.0955 u1: ml/dl st: NotStopd t0: [23:26:00 21/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 602 u1: ml/min st: NotStopd t0: [23:26:00 21/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 376.6 u1: ml/m/m st: NotStopd t0: [23:26:00 21/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 602 u1: ml/min st: NotStopd t0: [23:26:00 21/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 376.25 u1: ml/m/m st: NotStopd t0: [23:26:00 21/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 602 u1: ml/min st: NotStopd t0: [23:26:00 21/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 376.25 u1: ml/m/m st: NotStopd t0: [23:26:00 21/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [00:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.9984 u1: kg x m st: NotStopd t0: [00:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [00:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.072 u1: g * m st: NotStopd t0: [00:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [00:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [00:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [00:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [00:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [00:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1916.35 u1: ... st: NotStopd t0: [00:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.8696 u1: ml st: NotStopd t0: [00:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [00:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [00:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [00:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [00:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [00:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [00:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [00:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:26:00 21/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 155 rs: Final st: NotStopd t0: [23:26:00 21/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd
t0: [00:45:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.0345 u1: ml/cmH st: NotStopd t0: [00:45:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:45:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [00:45:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:45:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:45:00 22/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.4 st: NotStopd t0: [00:45:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:45:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:45:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [00:45:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [00:45:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:45:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.2 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [00:45:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:45:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:45:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19.5 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16.5 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:45:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:45:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:45:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:45:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:45:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:45:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [00:45:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:45:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [00:45:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:45:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:45:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [01:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [01:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.05552 u1: kg x m st: NotStopd t0: [01:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [01:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.8328 u1: g * m st: NotStopd t0: [01:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [01:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [01:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.375 u1: ... st: NotStopd t0: [01:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1219.05 u1: ... st: NotStopd t0: [01:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1946.77 u1: ... st: NotStopd t0: [01:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.6866 u1: ml st: NotStopd t0: [01:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [01:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [22:00:00 21/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 22/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [01:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [01:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [01:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 240 cv: 240 ap: none t0: [23:00:00 22/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -168 cv: -168 ap: none t0: [23:00:00 22/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 22 cv: 1130 ap: none t0: [23:00:00 22/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 72 cv: 2240 ap: none t0: [23:00:00 22/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 240 cv: 2415 ap: none t0: [23:00:00 22/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -168 cv: -340 ap: carryForward t0: [23:00:00 22/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 240 cv: 2580 ap: carryForward t0: [23:00:00 22/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -168 cv: 2931.27 ap: carryForward
t0: [01:00:00 22/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [01:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.52 u1: Deg. F st: NotStopd
t0: [23:00:00 21/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [23:00:00 21/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 21/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 21/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 21/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [23:00:00 21/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [23:00:00 21/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 21/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 21/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 21/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [23:00:00 21/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 21/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [23:00:00 21/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [23:00:00 21/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 21/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [23:00:00 21/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 21/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [23:00:00 21/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 21/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [23:00:00 21/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [23:00:00 21/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [23:00:00 21/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 21/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 21/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 21/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [23:00:00 21/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [23:00:00 21/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [23:00:00 21/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [23:00:00 21/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [23:00:00 21/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd
t0: [00:00:00 22/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 22/07/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [00:00:00 22/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [00:00:00 22/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [00:00:00 22/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 22/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 22/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 22/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 22/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 2 st: NotStopd t0: [00:00:00 22/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [00:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 22/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 22/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 22/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 22/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 22/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [02:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [02:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.00128 u1: kg x m st: NotStopd t0: [02:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.375 u1: ... st: NotStopd t0: [02:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 93.8808 u1: g * m st: NotStopd t0: [02:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 58.75 u1: g*m/m2 st: NotStopd t0: [02:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [02:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [02:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [02:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1981.82 u1: ... st: NotStopd t0: [02:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3170.91 u1: ... st: NotStopd t0: [02:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4595 u1: ml st: NotStopd t0: [02:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [02:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [02:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.3 u1: Deg. C st: NotStopd t0: [02:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.34 u1: Deg. F st: NotStopd
t0: [02:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [02:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [02:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [02:30:00 22/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:20:00 22/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.1 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.7 u1: % rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 237 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.1 u1: /mic l rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.1 rs: Final st: NotStopd t0: [02:30:00 22/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.7451 u1: ml/dl st: NotStopd t0: [02:30:00 22/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 528 u1: ml/min st: NotStopd t0: [02:30:00 22/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 330 u1: ml/m/m st: NotStopd t0: [02:30:00 22/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 528 u1: ml/min st: NotStopd t0: [02:30:00 22/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 330 u1: ml/m/m st: NotStopd t0: [02:30:00 22/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 528 u1: ml/min st: NotStopd t0: [02:30:00 22/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 330 u1: ml/m/m st: NotStopd
t0: [02:20:00 22/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 66 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: mg/dl rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 120 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.9 u1: mEq/L rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:20:00 22/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [21:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v2: Off st: NotStopd t0: [22:00:00 21/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd
t0: [03:00:00 22/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: 0n
t0: [03:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [03:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [03:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.61992 u1: kg x m st: NotStopd t0: [03:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [03:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.2408 u1: g * m st: NotStopd t0: [03:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [03:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [03:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [03:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1358.14 u1: ... st: NotStopd t0: [03:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2171 u1: ... st: NotStopd t0: [03:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.3333 u1: ml st: NotStopd t0: [03:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [03:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [03:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [03:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [03:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [04:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [04:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [04:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [04:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [04:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [03:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [03:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [04:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [04:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [04:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 21/07/2016] tf: [10:00:00 24/07/2016] dt: 3660 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [04:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 240 vu: ml
t0: [04:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [04:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.91232 u1: kg x m st: NotStopd t0: [04:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [04:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.8368 u1: g * m st: NotStopd t0: [04:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.5 u1: g*m/m2 st: NotStopd t0: [04:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [04:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1504.76 u1: ... st: NotStopd t0: [04:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2403.04 u1: ... st: NotStopd t0: [04:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.3333 u1: ml st: NotStopd t0: [04:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [05:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [05:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [05:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.62944 u1: kg x m st: NotStopd t0: [05:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [05:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.416 u1: g * m st: NotStopd t0: [05:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [05:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [05:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [05:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40.625 u1: ... st: NotStopd t0: [05:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1165.22 u1: ... st: NotStopd t0: [05:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1861.11 u1: ... st: NotStopd t0: [05:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64.7887 u1: ml st: NotStopd t0: [05:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [05:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [05:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [05:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [05:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [05:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [05:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [05:10:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.4685 u1: ml/cmH st: NotStopd t0: [05:10:00 22/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 37.931 u1: units st: NotStopd t0: [05:10:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:10:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [05:10:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:10:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:10:00 22/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.4 st: NotStopd t0: [05:10:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:10:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:10:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [05:10:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [05:10:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [05:10:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.5 u1: L/min st: NotStopd t0: [05:10:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [05:10:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:10:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19.3 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [05:10:00 22/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 37.931 u1: units st: NotStopd t0: [05:10:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [05:10:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:10:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:10:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:10:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:10:00 22/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [05:10:00 22/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.29 u1: L st: NotStopd t0: [05:10:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:10:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:10:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [05:10:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:10:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [05:10:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.1 u1: Deg. C st: NotStopd t0: [05:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 96.98 u1: Deg. F st: NotStopd
t0: [06:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [06:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.61992 u1: kg x m st: NotStopd t0: [06:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [06:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.2408 u1: g * m st: NotStopd t0: [06:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [06:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [06:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [06:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [06:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1358.14 u1: ... st: NotStopd t0: [06:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2171 u1: ... st: NotStopd t0: [06:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.3333 u1: ml st: NotStopd t0: [06:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [06:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.1 u1: Deg. C st: NotStopd t0: [06:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 96.98 u1: Deg. F st: NotStopd t0: [06:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [06:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [06:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [06:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [06:00:00 22/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [06:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [06:00:00 22/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.14294 u1: m2 st: NotStopd t0: [06:00:00 22/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.33809 u1: m2 st: NotStopd t0: [06:00:00 22/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 22/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd
t0: [04:00:00 22/07/2016] tf: [17:00:00 22/07/2016] dt: 780 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml
t0: [03:00:00 22/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [03:00:00 22/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [04:00:00 22/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 22/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 22/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 22/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 22/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 22/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 22/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 22/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 22/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 22/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 22/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 22/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 22/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 22/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 22/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 22/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 22/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 22/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 22/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 22/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [04:00:00 22/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 22/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 22/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 22/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 22/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [04:00:00 22/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 22/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 22/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [04:00:00 22/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [04:00:00 22/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 22/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 22/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 22/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 22/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 22/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [04:00:00 22/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [07:00:00 22/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd
t0: [02:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 22/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 22/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [08:00:00 22/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [08:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [08:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.75552 u1: kg x m st: NotStopd t0: [08:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [08:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.5696 u1: g * m st: NotStopd t0: [08:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.625 u1: g*m/m2 st: NotStopd t0: [08:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [08:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [08:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [08:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1478.26 u1: ... st: NotStopd t0: [08:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2361.11 u1: ... st: NotStopd t0: [08:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.5 u1: ml st: NotStopd t0: [08:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [08:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [17:00:00 21/07/2016] tf: [09:00:00 26/07/2016] dt: 6720 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [18:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [19:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [20:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [21:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [22:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [23:00:00 21/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [00:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [01:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [02:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [03:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [04:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [05:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [06:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [07:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [08:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [08:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [08:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [08:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [07:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [08:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [08:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [08:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 22/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 0 cv: 165 ap: none
t0: [08:00:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.125 u1: ml/cmH st: NotStopd t0: [08:00:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:00:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 22/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:00:00 22/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.9 u1: Deg. C st: NotStopd t0: [08:00:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [08:00:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.6 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [08:00:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19.6 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 22/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [08:00:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:00:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 22/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 22/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 22/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 22/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 22/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 22/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 22/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 22/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [08:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [09:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd
t0: [08:45:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:45:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:45:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:45:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:45:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:45:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:45:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:45:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [08:45:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 181 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [08:45:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg st: NotStopd t0: [08:45:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:45:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [08:45:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [08:45:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [08:45:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:45:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:45:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:45:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [09:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [09:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.61696 u1: kg x m st: NotStopd t0: [09:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.375 u1: ... st: NotStopd t0: [09:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 100.531 u1: g * m st: NotStopd t0: [09:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 63.125 u1: g*m/m2 st: NotStopd t0: [09:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 128 u2: mmHg st: NotStopd t0: [09:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg st: NotStopd t0: [09:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [09:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [09:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2100 u1: ... st: NotStopd t0: [09:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3360 u1: ... st: NotStopd t0: [09:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4706 u1: ml st: NotStopd t0: [09:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd t0: [09:15:00 22/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [09:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [09:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [09:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [09:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [09:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [09:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1110 ap: none
t0: [10:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [10:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.92456 u1: kg x m st: NotStopd t0: [10:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [10:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.8672 u1: g * m st: NotStopd t0: [10:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [10:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [10:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [10:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.75 u1: ... st: NotStopd t0: [10:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1035.29 u1: ... st: NotStopd t0: [10:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1655.17 u1: ... st: NotStopd t0: [10:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 62.1951 u1: ml st: NotStopd t0: [10:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [10:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [10:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [10:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [10:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [10:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [10:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [10:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [10:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [10:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 22/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 22/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd
t0: [11:00:00 22/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [11:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [11:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [10:52:00 22/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 118 u1: mmHg rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [10:52:00 22/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25 u1: % rs: Final st: NotStopd
id: Heparin el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
tf: [08:00:00 05/08/2016] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 6.1 u1: L/min st: NotStopd t0: [11:00:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [11:00:00 22/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 8 u1: . st: NotStopd t0: [11:00:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RT v1: 0 u1: BPM st: NotStopd t0: [11:00:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 12 u1: BPM st: NotStopd t0: [11:00:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RT v1: 12 u1: BPM st: NotStopd t0: [11:00:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RT v1: 460 u1: ml/B st: NotStopd t0: [11:00:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RT v1: 450 u1: ml/B st: NotStopd t0: [11:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: SIMV+PS st: NotStopd
t0: [11:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [11:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.12896 u1: kg x m st: NotStopd t0: [11:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [11:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.5504 u1: g * m st: NotStopd t0: [11:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [11:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [11:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [11:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [11:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [11:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1145.45 u1: ... st: NotStopd t0: [11:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1832.73 u1: ... st: NotStopd t0: [11:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.6962 u1: ml st: NotStopd t0: [11:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [11:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [11:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [11:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 22/07/2016] id: IV #1 Reason DC'D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 22/07/2016] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 22/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 22/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 22/07/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.4706 u1: ml/cmH st: NotStopd t0: [12:00:00 22/07/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 22/07/2016] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [12:00:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 22/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 0 u1: lpm st: NotStopd t0: [12:00:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [12:00:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [12:00:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.2 u1: L/min st: NotStopd t0: [12:00:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [12:00:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 22/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:00:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 22/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [12:00:00 22/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [12:00:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 22/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 280 u1: ml/B st: NotStopd t0: [12:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [12:00:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 22/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 22/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 22/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 22/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 22/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 22/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 22/07/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 2 st: NotStopd t0: [08:00:00 22/07/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 22/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Other/Remarks st: NotStopd t0: [08:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 22/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [08:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 22/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 22/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 22/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 22/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 22/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 22/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 22/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 22/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 22/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 22/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 22/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 22/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 22/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 22/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 22/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [09:00:00 22/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 22/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [09:00:00 22/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN st: NotStopd t0: [09:00:00 22/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 22/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [12:00:00 22/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 22/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 22/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 22/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [12:00:00 22/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 22/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 22/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 22/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 22/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 22/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 63 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 22/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 22/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Other/Remarks st: NotStopd t0: [12:00:00 22/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Moderate st: NotStopd t0: [12:00:00 22/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.82432 u1: kg x m st: NotStopd t0: [12:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [12:00:00 22/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 22/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.384 u1: g * m st: NotStopd t0: [12:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [12:00:00 22/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 22/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 22/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 22/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 22/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [12:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [12:00:00 22/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 22/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 22/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 22/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 22/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.5 u1: ... st: NotStopd t0: [12:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1368.42 u1: ... st: NotStopd t0: [12:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2184.87 u1: ... st: NotStopd t0: [12:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [12:00:00 22/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 22/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.3175 u1: ml st: NotStopd t0: [12:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [12:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [12:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [12:00:00 22/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [12:00:00 22/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd t0: [12:00:00 22/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 22/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 22/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [11:00:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [11:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [12:00:00 22/07/2016] tf: [03:00:00 02/08/2016] dt: 15300 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [12:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 40 vu: ml t0: [12:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [12:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [11:30:00 22/07/2016] tf: [15:27:00 17/08/2016] dt: 37677 id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/07/2016] id: IV #1 Reason DC'D el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 22/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 22/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 22/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 22/07/2016] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 4 st: NotStopd t0: [08:00:00 22/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 22/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd
t0: [12:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [12:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [12:30:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 70 vu: ml
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Susp. v1: 5 u1: ml
t0: [10:52:00 22/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.04 rs: Final st: NotStopd t0: [10:52:00 22/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.4 rs: Final st: NotStopd t0: [13:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [13:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [13:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.8624 u1: kg x m st: NotStopd t0: [13:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [13:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.8672 u1: g * m st: NotStopd t0: [13:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [13:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [13:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [13:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.75 u1: ... st: NotStopd t0: [13:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1260 u1: ... st: NotStopd t0: [13:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2016 u1: ... st: NotStopd t0: [13:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 61.5385 u1: ml st: NotStopd t0: [13:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [13:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [13:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [13:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [13:00:00 22/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [13:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [13:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [13:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [13:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [12:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:15:00 22/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [12:00:00 22/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [12:00:00 22/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [12:00:00 22/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 22/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [12:00:00 22/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 22/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 22/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [14:00:00 22/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [14:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.11264 u1: kg x m st: NotStopd t0: [14:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [14:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.7312 u1: g * m st: NotStopd t0: [14:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [14:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [14:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [14:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.125 u1: ... st: NotStopd t0: [14:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1219.05 u1: ... st: NotStopd t0: [14:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1946.77 u1: ... st: NotStopd t0: [14:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.8696 u1: ml st: NotStopd t0: [14:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [14:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 36.9 u1: Deg. C st: NotStopd t0: [14:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.42 u1: Deg. F st: NotStopd t0: [14:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [14:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [14:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [14:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [14:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [14:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [14:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [15:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [15:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [15:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.12624 u1: kg x m st: NotStopd t0: [15:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [15:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.3648 u1: g * m st: NotStopd t0: [15:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.625 u1: g*m/m2 st: NotStopd t0: [15:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [15:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [15:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1268.29 u1: ... st: NotStopd t0: [15:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2031.25 u1: ... st: NotStopd t0: [15:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.9444 u1: ml st: NotStopd t0: [15:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [15:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [14:00:00 22/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [15:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 22/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: RN ai: 115 vo: 4.5 vu: ml t0: [15:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [15:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [15:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [15:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [15:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [15:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:19:00 22/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [15:19:00 22/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.04 rs: Final st: NotStopd t0: [15:19:00 22/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd
t0: [15:30:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 70 vu: ml t0: [16:00:00 22/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [16:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [16:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: TP fr: QID:PRN m1: Miconazole Powder 2% v1: 1 u1: Appl
t0: [16:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [16:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0796 u1: kg x m st: NotStopd t0: [16:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [16:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.5992 u1: g * m st: NotStopd t0: [16:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.875 u1: g*m/m2 st: NotStopd t0: [16:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [16:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [16:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1315.56 u1: ... st: NotStopd t0: [16:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2106.76 u1: ... st: NotStopd t0: [16:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.2105 u1: ml st: NotStopd t0: [16:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [16:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [16:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [16:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [16:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [16:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.125 u1: ml/cmH st: NotStopd t0: [16:00:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:00:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 22/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 0 u1: lpm st: NotStopd t0: [16:00:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.6 u1: Deg. C st: NotStopd t0: [16:00:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [16:00:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.3 u1: L/min st: NotStopd t0: [16:00:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [16:00:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 22/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:00:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:00:00 22/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [16:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:00:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [15:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [15:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 22/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 22/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 22/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [16:00:00 22/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 22/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [16:00:00 22/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 22/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 22/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [16:00:00 22/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 22/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 22/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 22/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 22/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 22/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 22/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 22/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 22/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 22/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 22/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 22/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 22/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 22/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 22/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 22/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 22/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 22/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 22/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 22/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 22/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [16:00:00 22/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 22/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 22/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 22/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [17:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [17:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.896 u1: kg x m st: NotStopd t0: [17:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [17:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.28 u1: g * m st: NotStopd t0: [17:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [17:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [17:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [17:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [17:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 40 u1: ... st: NotStopd t0: [17:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1116.67 u1: ... st: NotStopd t0: [17:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1786.67 u1: ... st: NotStopd t0: [17:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 64 u1: ml st: NotStopd t0: [17:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [17:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [17:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [17:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [17:00:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [17:00:00 22/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [17:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [17:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [17:00:00 22/07/2016] tf: [22:00:00 22/07/2016] dt: 300 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [17:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [17:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [16:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:45:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [17:45:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:45:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:45:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:45:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [17:45:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [18:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [18:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.24144 u1: kg x m st: NotStopd t0: [18:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [18:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.7968 u1: g * m st: NotStopd t0: [18:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [18:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [18:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [18:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [18:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.875 u1: ... st: NotStopd t0: [18:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1276.6 u1: ... st: NotStopd t0: [18:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2040.82 u1: ... st: NotStopd t0: [18:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.4937 u1: ml st: NotStopd t0: [18:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [18:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [18:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [18:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [18:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [18:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [18:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [18:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [18:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:15:00 22/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 126 rs: Manual st: NotStopd
t0: [14:00:00 22/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml es: Medium
t0: [23:00:00 22/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [20:00:00 22/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 32.1429 u1: ml/cmH st: NotStopd t0: [20:00:00 22/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 22/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 22/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 22/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [20:00:00 22/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 22/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 22/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 22/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 22/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 22/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 22/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 22/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 22/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [19:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.0048 u1: kg x m st: NotStopd t0: [19:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [19:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.104 u1: g * m st: NotStopd t0: [19:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.375 u1: g*m/m2 st: NotStopd t0: [19:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [19:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [19:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [19:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [19:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1269.57 u1: ... st: NotStopd t0: [19:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2027.78 u1: ... st: NotStopd t0: [19:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.5 u1: ml st: NotStopd t0: [19:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [19:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd t0: [20:00:00 22/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 22/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [20:00:00 22/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 22/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 22/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: on t0: [20:00:00 22/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 22/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 22/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 22/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:00:00 22/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 22/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [20:00:00 22/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 22/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 22/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 22/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 22/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 22/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 22/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 22/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 22/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 22/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 22/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 22/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [20:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.13632 u1: kg x m st: NotStopd t0: [20:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [20:00:00 22/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.5904 u1: g * m st: NotStopd t0: [20:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45 u1: g*m/m2 st: NotStopd t0: [20:00:00 22/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 22/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 22/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 22/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 22/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [20:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [20:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 22/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [20:00:00 22/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 22/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 22/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 22/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 22/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 22/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 22/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [20:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1450 u1: ... st: NotStopd t0: [20:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2320 u1: ... st: NotStopd t0: [20:00:00 22/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4706 u1: ml st: NotStopd t0: [20:00:00 22/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 73 u1: % st: NotStopd t0: [20:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [20:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [20:00:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 22/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 22/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 22/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [20:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 22/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd t0: [20:00:00 22/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 22/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 22/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 22/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [20:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [20:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [20:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [20:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [19:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [21:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 22/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.19792 u1: kg x m st: NotStopd t0: [21:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [21:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.5264 u1: g * m st: NotStopd t0: [21:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.75 u1: g*m/m2 st: NotStopd t0: [21:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [21:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [21:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.25 u1: ... st: NotStopd t0: [21:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1191.84 u1: ... st: NotStopd t0: [21:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1908.5 u1: ... st: NotStopd t0: [21:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.6471 u1: ml st: NotStopd t0: [21:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [21:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [21:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [21:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd t0: [22:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [22:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3312 u1: kg x m st: NotStopd t0: [22:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.3125 u1: ... st: NotStopd t0: [22:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.928 u1: g * m st: NotStopd t0: [22:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [22:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [22:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [22:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [22:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1224.49 u1: ... st: NotStopd t0: [22:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1960.78 u1: ... st: NotStopd t0: [22:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.6818 u1: ml st: NotStopd t0: [22:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [22:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [22:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [22:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [21:00:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [21:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [21:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [22:00:00 22/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [22:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [22:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml t0: [22:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [21:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 22/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 22/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 22/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [23:00:00 22/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 22/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 22/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [23:00:00 22/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 22/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 22/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 22/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.26904 u1: kg x m st: NotStopd t0: [23:00:00 22/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [23:00:00 22/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.5896 u1: g * m st: NotStopd t0: [23:00:00 22/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.625 u1: g*m/m2 st: NotStopd t0: [23:00:00 22/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [23:00:00 22/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [23:00:00 22/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 22/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 22/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 22/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [23:00:00 22/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 22/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [23:00:00 22/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1265.12 u1: ... st: NotStopd t0: [23:00:00 22/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2022.3 u1: ... st: NotStopd t0: [23:00:00 22/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 22/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.5789 u1: ml st: NotStopd t0: [23:00:00 22/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [23:00:00 22/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 22/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [23:00:00 22/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [23:00:00 22/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 22/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [23:00:00 22/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 22/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [23:00:00 22/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 22/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 22/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [23:00:00 22/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [23:00:00 22/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [23:00:00 22/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [23:00:00 22/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [23:00:00 22/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 22/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -108 cv: 429.267 ap: carryForward
t0: [00:00:00 23/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.9091 u1: ml/cmH st: NotStopd t0: [00:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [00:00:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [00:00:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.3 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.4 u1: L/min st: NotStopd t0: [00:00:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 23/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 23/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 23/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 23/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [00:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.91816 u1: kg x m st: NotStopd t0: [00:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [00:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.9384 u1: g * m st: NotStopd t0: [00:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.5 u1: g*m/m2 st: NotStopd t0: [00:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [00:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [00:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [00:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1172.09 u1: ... st: NotStopd t0: [00:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1873.61 u1: ... st: NotStopd t0: [00:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.5789 u1: ml st: NotStopd t0: [00:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [00:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [00:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [00:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [01:00:00 23/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [01:00:00 23/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 23/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [01:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [01:00:00 23/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [01:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:00:00 23/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [01:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [01:00:00 23/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [01:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [01:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [01:00:00 23/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [01:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [01:00:00 23/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [01:00:00 23/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [01:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [01:00:00 23/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [01:00:00 23/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [01:00:00 23/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 23/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [01:00:00 23/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 23/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 23/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [01:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [01:00:00 23/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [01:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [01:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [01:00:00 23/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [01:00:00 23/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [01:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [01:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.20472 u1: kg x m st: NotStopd t0: [01:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [01:00:00 23/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 23/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.572 u1: g * m st: NotStopd t0: [01:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.875 u1: g*m/m2 st: NotStopd t0: [01:00:00 23/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [01:00:00 23/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [01:00:00 23/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [01:00:00 23/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [01:00:00 23/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [01:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 23/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 23/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [01:00:00 23/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [01:00:00 23/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [01:00:00 23/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 23/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [01:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 23/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 23/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 23/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 23/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 23/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [01:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [01:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1581.4 u1: ... st: NotStopd t0: [01:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2527.88 u1: ... st: NotStopd t0: [01:00:00 23/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 23/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [01:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 23/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [01:00:00 23/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [01:00:00 23/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.1282 u1: ml st: NotStopd t0: [01:00:00 23/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [01:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [01:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [01:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [01:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 23/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [01:00:00 23/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [01:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [01:00:00 23/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [01:00:00 23/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 23/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [01:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 23/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [01:00:00 23/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [01:00:00 23/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [01:00:00 23/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [01:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [01:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [01:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [01:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [01:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [01:00:00 23/07/2016] tf: [03:00:00 23/07/2016] dt: 120 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [01:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [01:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [00:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [02:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.73688 u1: kg x m st: NotStopd t0: [02:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [02:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.588 u1: g * m st: NotStopd t0: [02:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [02:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [02:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [02:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [02:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.375 u1: ... st: NotStopd t0: [02:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1413.95 u1: ... st: NotStopd t0: [02:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2260.22 u1: ... st: NotStopd t0: [02:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.1282 u1: ml st: NotStopd t0: [02:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 72 u1: % st: NotStopd t0: [02:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [02:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [02:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [02:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [02:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [02:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [02:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [02:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:51:00 23/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [02:51:00 23/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [02:51:00 23/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [23:00:00 22/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: ON t0: [01:00:00 23/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: ON t0: [03:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [03:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: ON t0: [03:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [03:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:00:00 23/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 23/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 23/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.48272 u1: kg x m st: NotStopd t0: [03:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.6875 u1: ... st: NotStopd t0: [03:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 90.8616 u1: g * m st: NotStopd t0: [03:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 56.875 u1: g*m/m2 st: NotStopd t0: [03:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [03:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg st: NotStopd t0: [03:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 23/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [03:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [03:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2400 u1: ... st: NotStopd t0: [03:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3832.7 u1: ... st: NotStopd t0: [03:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.2195 u1: ml st: NotStopd t0: [03:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [03:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [03:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [03:00:00 23/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 23/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [03:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [03:00:00 23/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [03:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [03:00:00 23/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [03:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [03:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [03:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:51:00 23/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.3 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.9 u1: % rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 272 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.31 u1: /mic l rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 17.3 rs: Final st: NotStopd
t0: [01:51:00 23/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.4 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28.4 rs: Final st: NotStopd
t0: [04:00:00 23/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 55 u1: units st: NotStopd t0: [04:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [04:00:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [04:00:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.6 u1: cmH2O st: NotStopd t0: [04:00:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [04:00:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [04:00:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [04:00:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 23/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 55 u1: units st: NotStopd t0: [04:00:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [04:00:00 23/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [04:00:00 23/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.4 u1: L st: NotStopd t0: [04:00:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [04:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [04:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [04:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.5488 u1: kg x m st: NotStopd t0: [04:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [04:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.892 u1: g * m st: NotStopd t0: [04:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.25 u1: g*m/m2 st: NotStopd t0: [04:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [04:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [04:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.625 u1: ... st: NotStopd t0: [04:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.1429 u1: ml st: NotStopd t0: [04:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [04:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [04:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [04:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [04:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [04:00:00 23/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [04:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml t0: [04:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [04:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:51:00 23/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 62 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 u1: mEq/L rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:51:00 23/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd
t0: [05:00:00 23/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30 u1: ml/cmH st: NotStopd t0: [05:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [05:00:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [05:00:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [05:00:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [05:00:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [05:00:00 23/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 23/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [05:00:00 23/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [05:00:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 23/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [05:00:00 23/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 23/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 260 u1: ml/B st: NotStopd t0: [05:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 71 u1: % st: NotStopd t0: [05:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [05:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [05:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.38016 u1: kg x m st: NotStopd t0: [05:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [05:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.1584 u1: g * m st: NotStopd t0: [05:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.375 u1: g*m/m2 st: NotStopd t0: [05:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [05:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 62.5 u1: kg st: NotStopd t0: [05:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [05:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.75 u1: ... st: NotStopd t0: [05:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1460.87 u1: ... st: NotStopd t0: [05:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2333.33 u1: ... st: NotStopd t0: [05:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.1176 u1: ml st: NotStopd t0: [05:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [05:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [05:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [05:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [05:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [05:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [05:00:00 23/07/2016] tf: [07:00:00 23/07/2016] dt: 120 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [05:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [05:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [05:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [05:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 23/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 23/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [06:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [06:00:00 23/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 23/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 23/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [06:00:00 23/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 23/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [06:00:00 23/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [06:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [06:00:00 23/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 23/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [06:00:00 23/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 23/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 23/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 23/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 23/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 23/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 23/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [06:00:00 23/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 23/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.65856 u1: kg x m st: NotStopd t0: [06:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.1875 u1: ... st: NotStopd t0: [06:00:00 23/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 23/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.5216 u1: g * m st: NotStopd t0: [06:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [06:00:00 23/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 23/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [06:00:00 23/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 23/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [06:00:00 23/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [06:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [06:00:00 23/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [06:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 23/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [06:00:00 23/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 23/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 23/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 23/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 23/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 23/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [06:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [06:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2560 u1: ... st: NotStopd t0: [06:00:00 23/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 23/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 23/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [06:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.3333 u1: ml st: NotStopd t0: [06:00:00 23/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [06:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [06:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [06:00:00 23/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [06:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 23/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd t0: [06:00:00 23/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [06:00:00 23/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 23/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [07:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [07:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [07:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: OFF t0: [07:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [07:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [07:00:00 23/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [07:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [07:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 23/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 23/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [07:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [07:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [07:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.29056 u1: kg x m st: NotStopd t0: [07:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.1875 u1: ... st: NotStopd t0: [07:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 91.5416 u1: g * m st: NotStopd t0: [07:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 57.5 u1: g*m/m2 st: NotStopd t0: [07:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [07:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [07:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg st: NotStopd t0: [07:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 23/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [07:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2033.33 u1: ... st: NotStopd t0: [07:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3253.33 u1: ... st: NotStopd t0: [07:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.7473 u1: ml st: NotStopd t0: [07:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [07:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [07:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [07:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [07:00:00 23/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [07:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [07:00:00 23/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [07:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [06:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [06:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [07:00:00 23/07/2016] tf: [09:00:00 26/07/2016] dt: 4440 id: Stool Out Stool el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [06:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml t0: [07:00:00 23/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [07:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [07:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [07:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [07:00:00 23/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [07:00:00 23/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [07:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml t0: [07:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [06:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 50 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 135 ap: none
t0: [08:00:00 23/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd
t0: [08:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [08:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.00576 u1: kg x m st: NotStopd t0: [08:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [08:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.0624 u1: g * m st: NotStopd t0: [08:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [08:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [08:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [08:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1400 u1: ... st: NotStopd t0: [08:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2240 u1: ... st: NotStopd t0: [08:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.6129 u1: ml st: NotStopd t0: [08:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [08:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [08:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [08:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [08:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [08:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [08:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [08:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [08:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 23/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 23/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 23/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [08:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 23/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 23/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 23/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 23/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 23/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 23/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 23/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 23/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 23/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 23/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 23/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 23/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 23/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 23/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 23/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serous st: NotStopd t0: [08:00:00 23/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 23/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 23/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 23/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 23/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 23/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [08:00:00 23/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 23/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 23/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 23/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 23/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 23/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 23/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 23/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 23/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 23/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 23/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 23/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 23/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 23/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 23/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 23/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 23/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 23/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 23/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 23/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 23/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [06:00:00 23/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [06:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [06:00:00 23/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.11181 u1: m2 st: NotStopd t0: [06:00:00 23/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.30247 u1: m2 st: NotStopd t0: [06:00:00 23/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 23/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [07:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [08:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd
t0: [08:00:00 23/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [08:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:00:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:00:00 23/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [08:00:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [08:00:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [08:00:00 23/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16.5 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 23/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [08:00:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 23/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 23/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 23/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:00:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [08:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [09:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.202 u1: kg x m st: NotStopd t0: [09:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.25 u1: ... st: NotStopd t0: [09:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.8 u1: g * m st: NotStopd t0: [09:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [09:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [09:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [09:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.25 u1: ... st: NotStopd t0: [09:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1386.67 u1: ... st: NotStopd t0: [09:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2220.64 u1: ... st: NotStopd t0: [09:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50 u1: ml st: NotStopd t0: [09:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [09:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [09:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [09:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [09:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [09:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [09:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 23/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 23/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -108 cv: -108 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 22 cv: 728 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 72 cv: 2038 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1310 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 180 cv: 4355 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -108 cv: -2502 ap: none t0: [23:00:00 23/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 180 cv: 4540 ap: none
t0: [10:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [10:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [10:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [10:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [10:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5625 u1: ... st: NotStopd t0: [10:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.1336 u1: kg x m st: NotStopd t0: [10:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.8125 u1: ... st: NotStopd t0: [10:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.328 u1: g * m st: NotStopd t0: [10:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [10:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.875 u1: ... st: NotStopd t0: [10:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2009.76 u1: ... st: NotStopd t0: [10:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3218.75 u1: ... st: NotStopd t0: [10:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 42.7083 u1: ml st: NotStopd t0: [10:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [10:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [10:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [10:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [10:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [10:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [10:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [10:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [09:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [11:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [11:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [11:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [11:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [11:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [11:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [11:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml t0: [11:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [11:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd
t0: [10:00:00 23/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 155 rs: Manual st: NotStopd
t0: [11:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [11:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.6304 u1: kg x m st: NotStopd t0: [11:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5 u1: ... st: NotStopd t0: [11:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.0672 u1: g * m st: NotStopd t0: [11:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.75 u1: g*m/m2 st: NotStopd t0: [11:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35 u1: ... st: NotStopd t0: [11:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1528.89 u1: ... st: NotStopd t0: [11:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2448.4 u1: ... st: NotStopd t0: [11:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.5556 u1: ml st: NotStopd t0: [11:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [12:06:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:06:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [12:06:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:06:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:06:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:06:00 23/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.2 st: NotStopd t0: [12:06:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:06:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:06:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:06:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [12:06:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:06:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:06:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [12:06:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [12:06:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:06:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [12:06:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [12:06:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:06:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [12:06:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:06:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 410 u1: ml/B st: NotStopd t0: [12:06:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:06:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [12:06:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [12:06:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [12:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [12:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [12:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [12:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [12:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [12:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [12:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [12:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [12:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [12:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [12:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 23/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 23/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 23/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 23/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 23/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 23/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 23/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 23/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 23/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 23/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [12:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [12:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.3856 u1: kg x m st: NotStopd t0: [12:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.375 u1: ... st: NotStopd t0: [12:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.648 u1: g * m st: NotStopd t0: [12:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [12:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [12:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1527.27 u1: ... st: NotStopd t0: [12:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2443.64 u1: ... st: NotStopd t0: [12:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.381 u1: ml st: NotStopd t0: [12:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [12:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [09:00:00 23/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 23/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 23/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 23/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 23/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 23/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [12:00:00 23/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 23/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 23/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 23/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 23/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 23/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 23/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 23/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 23/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 23/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 23/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 23/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 23/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 23/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [12:00:00 23/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [13:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [13:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [13:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.7528 u1: kg x m st: NotStopd t0: [13:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.625 u1: ... st: NotStopd t0: [13:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.1984 u1: g * m st: NotStopd t0: [13:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [13:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [13:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [13:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1564.44 u1: ... st: NotStopd t0: [13:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2505.34 u1: ... st: NotStopd t0: [13:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 50.5618 u1: ml st: NotStopd t0: [13:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [13:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [13:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [13:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [13:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [13:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [13:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [13:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [13:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:09:00 23/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5126 u1: ml/dl st: NotStopd t0: [13:09:00 23/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 585 u1: ml/min st: NotStopd t0: [13:09:00 23/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 365.3 u1: ml/m/m st: NotStopd t0: [13:09:00 23/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 585 u1: ml/min st: NotStopd t0: [13:09:00 23/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 365.625 u1: ml/m/m st: NotStopd t0: [13:09:00 23/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 585 u1: ml/min st: NotStopd t0: [13:09:00 23/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 365.625 u1: ml/m/m st: NotStopd t0: [13:09:00 23/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [13:09:00 23/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [14:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [14:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [14:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [14:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [14:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [14:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [14:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [14:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [14:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [14:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [14:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [14:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.7124 u1: kg x m st: NotStopd t0: [14:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [14:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.4072 u1: g * m st: NotStopd t0: [14:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 33.125 u1: g*m/m2 st: NotStopd t0: [14:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [14:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1280 u1: ... st: NotStopd t0: [14:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2049.82 u1: ... st: NotStopd t0: [14:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.1364 u1: ml st: NotStopd t0: [14:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [15:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [15:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.8348 u1: kg x m st: NotStopd t0: [15:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3 u1: ... st: NotStopd t0: [15:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.7944 u1: g * m st: NotStopd t0: [15:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.375 u1: g*m/m2 st: NotStopd t0: [15:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [15:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [15:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [15:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [15:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.875 u1: ... st: NotStopd t0: [15:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1333.33 u1: ... st: NotStopd t0: [15:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2135.23 u1: ... st: NotStopd t0: [15:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.1364 u1: ml st: NotStopd t0: [15:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [15:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [15:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [15:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [15:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [15:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [15:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [15:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [16:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [16:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.7124 u1: kg x m st: NotStopd t0: [16:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [16:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.2184 u1: g * m st: NotStopd t0: [16:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.625 u1: g*m/m2 st: NotStopd t0: [16:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [16:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [16:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [16:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [16:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [16:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1262.22 u1: ... st: NotStopd t0: [16:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2021.35 u1: ... st: NotStopd t0: [16:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.3684 u1: ml st: NotStopd t0: [16:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [16:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [16:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [16:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [16:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 60 vu: ml t0: [16:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [16:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [16:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [16:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip st: NotStopd
t0: [16:40:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:40:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:40:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:40:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:40:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:40:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:40:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:40:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:40:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [16:40:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:40:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:40:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.7 u1: cmH2O st: NotStopd t0: [16:40:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [16:40:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:40:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:40:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [16:40:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:40:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:40:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:40:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [16:40:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [16:40:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:40:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:40:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [16:40:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [17:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [17:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [17:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [17:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [17:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [17:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [17:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [17:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [17:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [17:15:00 23/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.125 u1: ml/cmH st: NotStopd t0: [17:15:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:15:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [17:15:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:15:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:15:00 23/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.2 st: NotStopd t0: [17:15:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:15:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:15:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:15:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [17:15:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [17:15:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.7 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.2 u1: L/min st: NotStopd t0: [17:15:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [17:15:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [17:15:00 23/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [17:15:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [17:15:00 23/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [17:15:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [17:15:00 23/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [17:15:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:15:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [17:15:00 23/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [17:15:00 23/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [17:15:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [17:15:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [17:15:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [17:15:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [17:15:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [17:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [17:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [17:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [17:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [17:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.6916 u1: kg x m st: NotStopd t0: [17:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [17:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.7104 u1: g * m st: NotStopd t0: [17:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.125 u1: g*m/m2 st: NotStopd t0: [17:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [17:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [17:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [17:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [17:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1546.67 u1: ... st: NotStopd t0: [17:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2476.87 u1: ... st: NotStopd t0: [17:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.8723 u1: ml st: NotStopd t0: [17:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 57 u1: % st: NotStopd t0: [17:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [17:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [17:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [18:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [18:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.75 u1: ... st: NotStopd t0: [18:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [18:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.43744 u1: kg x m st: NotStopd t0: [18:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.25 u1: ... st: NotStopd t0: [18:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 78.6216 u1: g * m st: NotStopd t0: [18:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 49.375 u1: g*m/m2 st: NotStopd t0: [18:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [18:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 203 u1: mmHg v2: 91 u2: mmHg st: NotStopd t0: [18:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg st: NotStopd t0: [18:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [18:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 39 u1: BPM st: NotStopd t0: [18:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 25.625 u1: ... st: NotStopd t0: [18:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2309.09 u1: ... st: NotStopd t0: [18:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3694.55 u1: ... st: NotStopd t0: [18:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 40.7407 u1: ml st: NotStopd t0: [18:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [18:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [18:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [18:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [18:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [18:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [18:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 58 u1: % st: NotStopd t0: [18:15:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:15:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:15:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:15:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:15:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:15:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:15:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:15:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [18:15:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:15:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [18:15:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:15:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [18:15:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:15:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [18:15:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [18:15:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:15:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:15:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:15:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:15:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 23/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [17:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [18:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml
t0: [13:09:00 23/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [18:00:00 23/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Manual st: NotStopd
t0: [19:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [19:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.19872 u1: kg x m st: NotStopd t0: [19:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [19:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.272 u1: g * m st: NotStopd t0: [19:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 21.25 u1: g*m/m2 st: NotStopd t0: [19:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [19:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [19:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [19:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [19:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [19:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 971.429 u1: ... st: NotStopd t0: [19:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1551.33 u1: ... st: NotStopd t0: [19:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.6809 u1: ml st: NotStopd t0: [19:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [19:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [19:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [19:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [19:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 23/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [20:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:00:00 23/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 23/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.2 st: NotStopd t0: [20:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 23/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [20:00:00 23/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 23/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.4 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [20:00:00 23/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 23/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [20:00:00 23/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 23/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 23/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 23/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 23/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 23/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 23/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [20:00:00 23/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 23/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 23/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [16:00:00 23/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 23/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 23/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [16:00:00 23/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 23/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 23/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [20:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.0312 u1: kg x m st: NotStopd t0: [20:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.375 u1: ... st: NotStopd t0: [20:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.312 u1: g * m st: NotStopd t0: [20:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.75 u1: g*m/m2 st: NotStopd t0: [20:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 162 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [20:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [20:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.375 u1: ... st: NotStopd t0: [20:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1736.17 u1: ... st: NotStopd t0: [20:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2775.51 u1: ... st: NotStopd t0: [20:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47 u1: ml st: NotStopd t0: [20:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [20:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd t0: [21:00:00 23/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [21:00:00 23/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 23/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [21:00:00 23/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [21:00:00 23/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: off t0: [21:00:00 23/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [21:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [21:00:00 23/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [21:00:00 23/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 23/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [21:00:00 23/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 23/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [21:00:00 23/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [21:00:00 23/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 23/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [21:00:00 23/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 23/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [21:00:00 23/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 23/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 23/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 23/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 23/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 23/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [21:00:00 23/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [21:00:00 23/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [21:00:00 23/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [21:00:00 23/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [21:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.85792 u1: kg x m st: NotStopd t0: [21:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [21:00:00 23/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.6464 u1: g * m st: NotStopd t0: [21:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 31.875 u1: g*m/m2 st: NotStopd t0: [21:00:00 23/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 23/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [21:00:00 23/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [21:00:00 23/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [21:00:00 23/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 23/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [21:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [21:00:00 23/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN st: NotStopd t0: [21:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [21:00:00 23/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 23/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 23/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [21:00:00 23/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 23/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [21:00:00 23/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 23/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 23/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 23/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 23/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 23/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 23/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 23/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [21:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1208.51 u1: ... st: NotStopd t0: [21:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1931.97 u1: ... st: NotStopd t0: [21:00:00 23/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 23/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 23/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [21:00:00 23/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [21:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.4737 u1: ml st: NotStopd t0: [21:00:00 23/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [21:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [21:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [21:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [21:00:00 23/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 23/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 23/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 23/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 23/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 23/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [21:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 23/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [21:00:00 23/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 23/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [21:00:00 23/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd t0: [21:00:00 23/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [21:00:00 23/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 160 vu: ml t0: [20:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [20:00:00 23/07/2016] tf: [04:00:00 27/07/2016] dt: 4800 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [20:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [20:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [21:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [21:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [21:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [21:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [20:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [22:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.68888 u1: kg x m st: NotStopd t0: [22:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.5625 u1: ... st: NotStopd t0: [22:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.0992 u1: g * m st: NotStopd t0: [22:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [22:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [22:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [22:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [22:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1429.79 u1: ... st: NotStopd t0: [22:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2285.71 u1: ... st: NotStopd t0: [22:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.9592 u1: ml st: NotStopd t0: [22:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [22:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [22:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [20:00:00 23/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 23/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [22:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [22:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [22:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 23/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 23/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 23/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 23/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.875 u1: ... st: NotStopd t0: [23:00:00 23/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 23/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 23/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:00:00 23/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.00576 u1: kg x m st: NotStopd t0: [23:00:00 23/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.75 u1: ... st: NotStopd t0: [23:00:00 23/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.8912 u1: g * m st: NotStopd t0: [23:00:00 23/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.5 u1: g*m/m2 st: NotStopd t0: [23:00:00 23/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [23:00:00 23/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 23/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 23/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [23:00:00 23/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 23/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [23:00:00 23/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1565.22 u1: ... st: NotStopd t0: [23:00:00 23/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2500 u1: ... st: NotStopd t0: [23:00:00 23/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 23/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.6854 u1: ml st: NotStopd t0: [23:00:00 23/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [23:00:00 23/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 23/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [23:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [23:00:00 23/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 23/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [23:00:00 23/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 23/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 23/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [23:00:00 23/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [23:00:00 23/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [23:00:00 23/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [23:00:00 23/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 23/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 23/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.4706 u1: ml/cmH st: NotStopd t0: [00:00:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [00:00:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [00:00:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.4 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 5.4 u1: L/min st: NotStopd t0: [00:00:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 24/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 50 u1: L/m st: NotStopd t0: [00:00:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:00:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [00:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.625 u1: ... st: NotStopd t0: [00:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.96944 u1: kg x m st: NotStopd t0: [00:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.125 u1: ... st: NotStopd t0: [00:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.9768 u1: g * m st: NotStopd t0: [00:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.25 u1: g*m/m2 st: NotStopd t0: [00:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [00:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [00:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.625 u1: ... st: NotStopd t0: [00:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1542.86 u1: ... st: NotStopd t0: [00:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2463.88 u1: ... st: NotStopd t0: [00:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.4118 u1: ml st: NotStopd t0: [00:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [00:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [00:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [00:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [00:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [00:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [00:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [00:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 150 cv: 150 ap: none t0: [23:00:00 24/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -29.5 cv: -29.5 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 70.5 cv: 1096.12 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 120.5 cv: 2236.12 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1050 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 150 cv: 3330 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -29.5 cv: -1533.88 ap: none t0: [23:00:00 24/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 150 cv: 3770 ap: none t0: [23:00:00 24/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -29.5 cv: -1104.61 ap: carryForward
t0: [22:00:00 23/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [22:00:00 23/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [22:00:00 23/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [22:00:00 23/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [22:00:00 23/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 1 st: NotStopd t0: [22:00:00 23/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 23/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 23/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [22:00:00 23/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [22:00:00 23/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [00:00:00 24/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [00:00:00 24/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [01:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.375 u1: ... st: NotStopd t0: [01:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [01:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 24/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.9096 u1: kg x m st: NotStopd t0: [01:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0625 u1: ... st: NotStopd t0: [01:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.556 u1: g * m st: NotStopd t0: [01:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35 u1: g*m/m2 st: NotStopd t0: [01:00:00 24/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 24/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [01:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 26.875 u1: ... st: NotStopd t0: [01:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1831.58 u1: ... st: NotStopd t0: [01:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2924.37 u1: ... st: NotStopd t0: [01:00:00 24/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.1818 u1: ml st: NotStopd t0: [01:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 59 u1: % st: NotStopd t0: [01:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [01:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [01:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 24/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 24/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.8 u1: L/min st: NotStopd
t0: [01:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [01:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [01:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [01:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [01:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 24/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 24/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.8125 u1: ... st: NotStopd t0: [02:00:00 24/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [02:00:00 24/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 24/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [02:00:00 24/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [02:00:00 24/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [02:00:00 24/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 24/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [02:00:00 24/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [02:00:00 24/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [02:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right IJ st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 26 st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 24/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 24/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 24/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 24/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 24/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 24/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Large st: NotStopd t0: [02:00:00 24/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [02:00:00 24/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 24/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.508 u1: kg x m st: NotStopd t0: [02:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [02:00:00 24/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 24/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 24/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 24/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.872 u1: g * m st: NotStopd t0: [02:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.625 u1: g*m/m2 st: NotStopd t0: [02:00:00 24/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 24/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [02:00:00 24/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 24/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [02:00:00 24/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 24/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [02:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [02:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 24/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [02:00:00 24/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 24/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [02:00:00 24/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 24/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 24/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [02:00:00 24/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 24/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 24/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 24/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 24/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 24/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 24/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.125 u1: ... st: NotStopd t0: [02:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1493.33 u1: ... st: NotStopd t0: [02:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2391.46 u1: ... st: NotStopd t0: [02:00:00 24/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 24/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 24/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [02:00:00 24/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Diaper st: NotStopd t0: [02:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.9412 u1: ml st: NotStopd t0: [02:00:00 24/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [02:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.6 u1: Deg. C st: NotStopd t0: [02:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.68 u1: Deg. F st: NotStopd t0: [02:00:00 24/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [02:00:00 24/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 24/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 24/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [02:00:00 24/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [02:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [02:00:00 24/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [02:00:00 24/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [02:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [02:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [02:00:00 24/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [02:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [02:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2 vu: ml
t0: [02:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
t0: [03:10:00 24/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [03:10:00 24/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [03:16:00 24/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 77 rs: Final st: NotStopd
t0: [02:52:00 24/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.7 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.2 u1: % rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 292 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 21.7 rs: Final st: NotStopd
t0: [02:52:00 24/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.7 rs: Final st: NotStopd
t0: [04:00:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.4706 u1: ml/cmH st: NotStopd t0: [04:00:00 24/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 58 u1: units st: NotStopd t0: [04:00:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [04:00:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 50 st: NotStopd t0: [04:00:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [04:00:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [04:00:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 24/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 58 u1: units st: NotStopd t0: [04:00:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 24/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.5 u1: L st: NotStopd t0: [04:00:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 24/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [04:00:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [04:00:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 24/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [03:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [03:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.08776 u1: kg x m st: NotStopd t0: [03:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.1875 u1: ... st: NotStopd t0: [03:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.5264 u1: g * m st: NotStopd t0: [03:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.75 u1: g*m/m2 st: NotStopd t0: [03:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [03:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [03:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.5 u1: ... st: NotStopd t0: [03:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1525.58 u1: ... st: NotStopd t0: [03:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2438.66 u1: ... st: NotStopd t0: [03:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.439 u1: ml st: NotStopd t0: [03:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [03:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [03:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [03:16:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 5 u1: ... st: NotStopd t0: [03:16:00 24/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: RN v1: 8.02439 u1: L/min st: NotStopd t0: [04:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [04:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [04:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.07608 u1: kg x m st: NotStopd t0: [04:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.4375 u1: ... st: NotStopd t0: [04:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.052 u1: g * m st: NotStopd t0: [04:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [04:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 47 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [04:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 180 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [04:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [04:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [04:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [04:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2139.53 u1: ... st: NotStopd t0: [04:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3420.07 u1: ... st: NotStopd t0: [04:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 24/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 24/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.2632 u1: ml st: NotStopd t0: [04:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [04:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [04:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [04:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [05:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [05:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.4944 u1: kg x m st: NotStopd t0: [05:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.4375 u1: ... st: NotStopd t0: [05:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 60.4384 u1: g * m st: NotStopd t0: [05:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.5 u1: g*m/m2 st: NotStopd t0: [05:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [05:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [05:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [05:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [05:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1920 u1: ... st: NotStopd t0: [05:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3072 u1: ... st: NotStopd t0: [05:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.956 u1: ml st: NotStopd t0: [05:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [05:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [05:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [05:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [03:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [04:00:00 24/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [04:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [04:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [04:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml t0: [05:00:00 24/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [05:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 0.75 vu: ml t0: [05:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [05:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 3 vu: ml
t0: [03:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 24/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 24/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 24/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [06:00:00 24/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [06:00:00 24/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [06:00:00 24/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 24/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 24/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [06:00:00 24/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 24/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [06:00:00 24/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 24/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [06:00:00 24/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [06:00:00 24/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 24/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 24/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 24/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 24/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [06:00:00 24/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [06:00:00 24/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 24/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.49128 u1: kg x m st: NotStopd t0: [06:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.0625 u1: ... st: NotStopd t0: [06:00:00 24/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 24/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 24/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [06:00:00 24/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.932 u1: g * m st: NotStopd t0: [06:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.5 u1: g*m/m2 st: NotStopd t0: [06:00:00 24/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 24/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [06:00:00 24/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 24/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [06:00:00 24/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 24/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [06:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [06:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 171 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [06:00:00 24/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 24/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [06:00:00 24/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [06:00:00 24/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 24/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [06:00:00 24/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 24/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 24/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 24/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 24/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 24/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 24/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.125 u1: ... st: NotStopd t0: [06:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1934.88 u1: ... st: NotStopd t0: [06:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3092.94 u1: ... st: NotStopd t0: [06:00:00 24/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 24/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 24/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [06:00:00 24/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [06:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.7917 u1: ml st: NotStopd t0: [06:00:00 24/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [06:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [06:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [06:00:00 24/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Sediment st: NotStopd t0: [06:00:00 24/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 24/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 24/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [06:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [06:00:00 24/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [06:00:00 24/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [07:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.6875 u1: ... st: NotStopd t0: [07:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [07:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.25736 u1: kg x m st: NotStopd t0: [07:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.9375 u1: ... st: NotStopd t0: [07:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.0288 u1: g * m st: NotStopd t0: [07:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40 u1: g*m/m2 st: NotStopd t0: [07:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [07:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [07:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [07:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1879.07 u1: ... st: NotStopd t0: [07:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3003.72 u1: ... st: NotStopd t0: [07:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.3299 u1: ml st: NotStopd t0: [07:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [07:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [07:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [07:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [06:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [07:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [07:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 100 vu: ml t0: [07:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 15 vu: ml t0: [07:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [07:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 6 vu: ml
t0: [06:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd
t0: [08:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.9375 u1: ... st: NotStopd t0: [08:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.22296 u1: kg x m st: NotStopd t0: [08:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.5 u1: ... st: NotStopd t0: [08:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 73.7664 u1: g * m st: NotStopd t0: [08:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 46.25 u1: g*m/m2 st: NotStopd t0: [08:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [08:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 172 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [08:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [08:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30 u1: ... st: NotStopd t0: [08:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1821.28 u1: ... st: NotStopd t0: [08:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2911.56 u1: ... st: NotStopd t0: [08:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.9592 u1: ml st: NotStopd t0: [08:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [08:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [08:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [08:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [08:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [08:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [08:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [08:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [02:52:00 24/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 52 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.3 u1: mg/dl rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [02:52:00 24/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [02:52:00 24/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [08:40:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.6842 u1: ml/cmH st: NotStopd t0: [08:40:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:40:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:40:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:40:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [08:40:00 24/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 50 st: NotStopd t0: [08:40:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:40:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:40:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [08:40:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:40:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.8 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.7 u1: L/min st: NotStopd t0: [08:40:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:40:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:40:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:40:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [08:40:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [08:40:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:40:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:40:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 94 u1: % st: NotStopd t0: [08:40:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [08:40:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [08:40:00 24/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [08:40:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:40:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:40:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:40:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 24/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Thick st: NotStopd t0: [08:00:00 24/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [09:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.5 u1: ... st: NotStopd t0: [09:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.3648 u1: kg x m st: NotStopd t0: [09:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4 u1: ... st: NotStopd t0: [09:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 70.0128 u1: g * m st: NotStopd t0: [09:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.75 u1: g*m/m2 st: NotStopd t0: [09:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 181 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [09:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [09:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [09:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [09:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2200 u1: ... st: NotStopd t0: [09:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3520 u1: ... st: NotStopd t0: [09:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.956 u1: ml st: NotStopd t0: [09:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [09:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [09:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [09:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 15 vu: ml t0: [09:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [09:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [09:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 24/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 24/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 24/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 24/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 24/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 24/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 24/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 24/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 24/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 24/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 24/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 24/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 24/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 24/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 24/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 24/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 24/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 24/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 24/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 24/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Brown v2: Small st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 24/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None v2: Intact st: NotStopd t0: [08:00:00 24/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 24/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 24/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 24/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 24/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 24/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 24/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 24/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 24/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 24/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 24/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 24/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 24/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 24/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [08:00:00 24/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 24/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 24/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 24/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 24/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 24/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 24/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 24/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 24/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 24/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 24/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 24/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Sediment st: NotStopd t0: [08:00:00 24/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 24/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 24/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 24/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 24/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [08:00:00 24/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 24/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 24/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [02:52:00 24/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: RN v1: 14.6 rs: Final st: NotStopd t0: [08:30:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:30:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [08:30:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:30:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 182 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:30:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [08:30:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:30:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [08:30:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 24/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 59.5 u1: kg st: NotStopd t0: [09:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [09:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [09:30:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:30:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:30:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:30:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:30:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 11 u2: mmHg st: NotStopd t0: [09:30:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:30:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:30:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:30:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:30:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [09:30:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:30:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:30:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:30:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:30:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 15 vu: ml t0: [10:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [10:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 4 vu: ml
t0: [10:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4375 u1: ... st: NotStopd t0: [10:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.1824 u1: kg x m st: NotStopd t0: [10:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2 u1: ... st: NotStopd t0: [10:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 35.904 u1: g * m st: NotStopd t0: [10:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.5 u1: g*m/m2 st: NotStopd t0: [10:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 9 u2: mmHg st: NotStopd t0: [10:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [10:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.5 u1: ... st: NotStopd t0: [10:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 964.103 u1: ... st: NotStopd t0: [10:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1540.98 u1: ... st: NotStopd t0: [10:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.3182 u1: ml st: NotStopd t0: [10:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [10:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [10:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [10:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [10:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [09:30:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [10:15:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:15:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:15:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:15:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:15:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [10:15:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [10:15:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [10:15:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:15:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:15:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml st: Stopped
t0: [10:15:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:15:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:15:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [14:00:00 25/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Haloperidol v1: 3 u1: mg
t0: [10:15:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:15:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [10:30:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:30:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:30:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [10:30:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [10:30:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [10:30:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:30:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:30:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:30:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:30:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:45:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:45:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:45:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:45:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:45:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:45:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [10:45:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:45:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [10:45:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:45:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:45:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:45:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:45:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:45:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:45:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:45:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:45:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:45:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:45:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:45:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [10:45:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd
t0: [11:46:00 24/07/2016] id: BSA el: 1033 cu: CSRU cg: -1 v1: 1.59967 u1: m2 t0: [11:46:00 24/07/2016] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 52 u1: kg t0: [11:46:00 24/07/2016] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Iodine t0: [11:46:00 24/07/2016] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: S/P AAA t0: [11:46:00 24/07/2016] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [11:46:00 24/07/2016] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 73 u1: inches t0: [11:46:00 24/07/2016] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [11:46:00 24/07/2016] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: W t0: [11:46:00 24/07/2016] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [11:46:00 24/07/2016] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [11:46:00 24/07/2016] id: Ext el: 1010 cu: CSRU cg: -1 t0: [11:46:00 24/07/2016] id: PIN el: 1012 cu: CSRU cg: -1 t0: [11:46:00 24/07/2016] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [11:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.54902 u1: ... st: NotStopd t0: [11:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [11:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.02328 u1: kg x m st: NotStopd t0: [11:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.96078 u1: ... st: NotStopd t0: [11:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 34.1088 u1: g * m st: NotStopd t0: [11:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.2222 u1: g*m/m2 st: NotStopd t0: [11:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [11:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [11:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.7582 u1: ... st: NotStopd t0: [11:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 984.615 u1: ... st: NotStopd t0: [11:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1505.88 u1: ... st: NotStopd t0: [11:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.8202 u1: ml st: NotStopd t0: [11:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [11:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [11:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [11:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [11:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [12:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [12:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [12:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [12:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [12:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 11.25 vu: ml t0: [12:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [12:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 2.625 vu: ml
t0: [12:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 37.5 u1: ml/cmH st: NotStopd t0: [12:00:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [12:00:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 50 st: NotStopd t0: [12:00:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [12:00:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [12:00:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 15.5 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [12:00:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [12:00:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:00:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [12:00:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [12:00:00 24/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [12:00:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:00:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [12:00:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [12:00:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.61438 u1: ... st: NotStopd t0: [12:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.8624 u1: kg x m st: NotStopd t0: [12:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.54902 u1: ... st: NotStopd t0: [12:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 42.4864 u1: g * m st: NotStopd t0: [12:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 27.451 u1: g*m/m2 st: NotStopd t0: [12:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.7582 u1: ... st: NotStopd t0: [12:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1240 u1: ... st: NotStopd t0: [12:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1900.38 u1: ... st: NotStopd t0: [12:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.956 u1: ml st: NotStopd t0: [12:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [12:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [12:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [06:00:00 24/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [06:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [06:00:00 24/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.04144 u1: m2 st: NotStopd t0: [06:00:00 24/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.22064 u1: m2 st: NotStopd t0: [06:00:00 24/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 24/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [07:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [08:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [08:30:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [09:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [09:30:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [10:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [10:15:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [10:30:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [10:45:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [11:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [12:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd
t0: [13:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [13:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [13:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.15208 u1: kg x m st: NotStopd t0: [13:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [13:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.3488 u1: g * m st: NotStopd t0: [13:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.0654 u1: g*m/m2 st: NotStopd t0: [13:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [13:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [13:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [13:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.3725 u1: ... st: NotStopd t0: [13:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1153.49 u1: ... st: NotStopd t0: [13:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1765.12 u1: ... st: NotStopd t0: [13:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.7778 u1: ml st: NotStopd t0: [13:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [13:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [13:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [13:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [13:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [13:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [13:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [13:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
tf: [14:00:00 24/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 13 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml tf: [12:00:00 27/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 16 dn: 1 m1: Vancomycin HCl v1: 500 u1: mg m2: D5W v2: 150 u2: ml tf: [08:00:00 28/07/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 13 dn: 1 m1: Fluconazole v1: 200 u1: mg m2: NS v2: 100 u2: ml
t0: [13:15:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [13:45:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:45:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:45:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:45:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [13:45:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [13:45:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:45:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [13:45:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:45:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [13:45:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:45:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:45:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [14:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 23 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [14:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [14:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [14:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [14:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:15:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:15:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [14:15:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:15:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:15:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:15:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [14:15:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:15:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [14:15:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:15:00 24/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [14:15:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [14:15:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:15:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:15:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:45:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [14:15:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 6.25 vu: ml t0: [14:15:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 12.5 vu: ml t0: [14:15:00 24/07/2016] tf: [08:00:00 26/07/2016] dt: 2505 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 62.5 vu: ml t0: [14:15:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 6.25 vu: ml t0: [14:15:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [14:15:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.625 vu: ml
t0: [13:45:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:45:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:45:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:45:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:15:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:15:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:15:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:15:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.4183 u1: ... st: NotStopd t0: [14:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.2708 u1: kg x m st: NotStopd t0: [14:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.15686 u1: ... st: NotStopd t0: [14:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 37.128 u1: g * m st: NotStopd t0: [14:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 24.183 u1: g*m/m2 st: NotStopd t0: [14:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 27.451 u1: ... st: NotStopd t0: [14:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1210.81 u1: ... st: NotStopd t0: [14:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1851.24 u1: ... st: NotStopd t0: [14:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 41.573 u1: ml st: NotStopd t0: [14:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 75 u1: % st: NotStopd t0: [14:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.7 u1: L/min st: NotStopd
t0: [14:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [14:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd
t0: [12:00:00 24/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 24/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 24/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 24/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 24/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [12:00:00 24/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 24/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 24/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 24/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 24/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 24/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 24/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 24/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 24/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 24/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 24/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 24/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 24/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 24/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 24/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 24/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [12:00:00 24/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 24/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 24/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [12:00:00 24/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 24/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 24/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 24/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 24/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Red v2: Sediment st: NotStopd t0: [12:00:00 24/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 24/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 24/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 24/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [12:00:00 24/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 24/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [12:00:00 24/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 24/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 24/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 24/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 24/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 24/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 24/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 24/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 24/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 24/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 24/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 24/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 24/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 24/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 24/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 24/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [12:00:00 24/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 24/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 24/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [14:28:00 24/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [14:28:00 24/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.0287 u1: ml/dl st: NotStopd t0: [14:28:00 24/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [14:28:00 24/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 314.6 u1: ml/m/m st: NotStopd t0: [14:28:00 24/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [14:28:00 24/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 314.379 u1: ml/m/m st: NotStopd t0: [14:28:00 24/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 481 u1: ml/min st: NotStopd t0: [14:28:00 24/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 314.379 u1: ml/m/m st: NotStopd t0: [14:28:00 24/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [15:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [15:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.54902 u1: ... st: NotStopd t0: [15:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.07632 u1: kg x m st: NotStopd t0: [15:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.02614 u1: ... st: NotStopd t0: [15:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 33.9184 u1: g * m st: NotStopd t0: [15:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.2222 u1: g*m/m2 st: NotStopd t0: [15:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [15:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [15:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1046 u1: ... st: NotStopd t0: [15:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 923.077 u1: ... st: NotStopd t0: [15:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1411.76 u1: ... st: NotStopd t0: [15:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43.3333 u1: ml st: NotStopd t0: [15:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 74 u1: % st: NotStopd t0: [15:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [15:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [15:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [15:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 3.75 vu: ml t0: [15:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.5 vu: ml t0: [15:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 37.5 vu: ml t0: [15:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 3.75 vu: ml t0: [15:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [15:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.375 vu: ml
t0: [15:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [13:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [14:28:00 24/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: RN v1: 223 u1: mmHg rs: Final st: NotStopd
t0: [15:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [16:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [16:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [16:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [16:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [16:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [16:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [16:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [16:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [16:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd
t0: [16:30:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:30:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:30:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [16:30:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:30:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [16:30:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [16:30:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:30:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [16:30:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:26:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [16:26:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:26:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:26:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:26:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [16:26:00 24/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.2 st: NotStopd t0: [16:26:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:26:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:26:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:26:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [16:26:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:26:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.8 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [16:26:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:26:00 24/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [16:26:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:26:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:26:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [16:26:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:26:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:26:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:26:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [16:26:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:26:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:26:00 24/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [16:26:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:26:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:26:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [16:26:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [14:28:00 24/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 144 rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.04 rs: Final st: NotStopd t0: [14:28:00 24/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd
t0: [17:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [17:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [17:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [17:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [16:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.61438 u1: ... st: NotStopd t0: [16:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 2.992 u1: kg x m st: NotStopd t0: [16:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.96078 u1: ... st: NotStopd t0: [16:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 33.66 u1: g * m st: NotStopd t0: [16:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.2222 u1: g*m/m2 st: NotStopd t0: [16:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.4118 u1: ... st: NotStopd t0: [16:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 860 u1: ... st: NotStopd t0: [16:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1318.01 u1: ... st: NotStopd t0: [16:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.4545 u1: ml st: NotStopd t0: [16:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd t0: [17:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [17:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.06736 u1: kg x m st: NotStopd t0: [17:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.33333 u1: ... st: NotStopd t0: [17:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.9784 u1: g * m st: NotStopd t0: [17:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: g*m/m2 st: NotStopd t0: [17:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [17:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [17:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [17:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.0261 u1: ... st: NotStopd t0: [17:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1182.61 u1: ... st: NotStopd t0: [17:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1807.31 u1: ... st: NotStopd t0: [17:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [17:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.4624 u1: ml st: NotStopd t0: [17:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [17:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [17:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [09:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [11:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [17:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd
t0: [17:00:00 24/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [18:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [18:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [18:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.82976 u1: kg x m st: NotStopd t0: [18:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.48366 u1: ... st: NotStopd t0: [18:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 40.9088 u1: g * m st: NotStopd t0: [18:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.7974 u1: g*m/m2 st: NotStopd t0: [18:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [18:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [18:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.719 u1: ... st: NotStopd t0: [18:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1036.36 u1: ... st: NotStopd t0: [18:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1583.33 u1: ... st: NotStopd t0: [18:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 46.8085 u1: ml st: NotStopd t0: [18:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [18:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [18:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [18:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [18:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [18:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [18:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [18:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [19:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0719 u1: ... st: NotStopd t0: [19:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.53832 u1: kg x m st: NotStopd t0: [19:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.94118 u1: ... st: NotStopd t0: [19:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 47.3144 u1: g * m st: NotStopd t0: [19:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.719 u1: g*m/m2 st: NotStopd t0: [19:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [19:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [19:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.0261 u1: ... st: NotStopd t0: [19:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1089.36 u1: ... st: NotStopd t0: [19:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1667.75 u1: ... st: NotStopd t0: [19:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.9583 u1: ml st: NotStopd t0: [19:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [19:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [19:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [19:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [19:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [19:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [19:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 25/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml
t0: [19:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [19:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd
t0: [20:00:00 24/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 20.4545 u1: ml/cmH st: NotStopd t0: [20:00:00 24/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 24/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:00:00 24/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 24/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [20:00:00 24/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 24/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 24/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [20:00:00 24/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 24/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [20:00:00 24/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 24/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [20:00:00 24/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 24/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 24/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 24/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 24/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 24/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 24/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 24/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 370 u1: ml/B st: NotStopd t0: [20:00:00 24/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 24/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 24/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 24/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 24/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 24/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 24/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 24/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 24/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 24/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 24/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 24/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 24/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 24/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 24/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [20:00:00 24/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 24/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 24/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 24/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 24/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 24/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 24/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 24/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 24/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 24/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 24/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 24/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 24/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 24/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 24/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 24/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 24/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 24/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 24/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 24/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 24/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 24/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 24/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown st: NotStopd t0: [20:00:00 24/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 24/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 24/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [20:00:00 24/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 24/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 24/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 24/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 24/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 24/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 24/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [20:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [20:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [20:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [20:00:00 24/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 24/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 24/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [20:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.32752 u1: kg x m st: NotStopd t0: [20:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [20:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 45.288 u1: g * m st: NotStopd t0: [20:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.4118 u1: g*m/m2 st: NotStopd t0: [20:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [20:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 24/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [20:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 29.4118 u1: ... st: NotStopd t0: [20:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1283.72 u1: ... st: NotStopd t0: [20:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1964.41 u1: ... st: NotStopd t0: [20:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 44.7917 u1: ml st: NotStopd t0: [20:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [20:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [20:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [20:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [20:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 24/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 24/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 24/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 24/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 24/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [20:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd
t0: [21:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [21:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.02928 u1: kg x m st: NotStopd t0: [21:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.26797 u1: ... st: NotStopd t0: [21:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 50.2928 u1: g * m st: NotStopd t0: [21:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.6797 u1: g*m/m2 st: NotStopd t0: [21:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [21:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [21:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 28.1046 u1: ... st: NotStopd t0: [21:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1525.58 u1: ... st: NotStopd t0: [21:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2334.52 u1: ... st: NotStopd t0: [21:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 43 u1: ml st: NotStopd t0: [21:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 70 u1: % st: NotStopd t0: [21:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [21:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [21:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [21:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [21:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [21:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [21:00:00 24/07/2016] tf: [04:00:00 04/08/2016] dt: 14820 id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 350 vu: ml t0: [21:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [21:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [21:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 350 ap: none
t0: [21:08:00 24/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.529 u1: ml/dl st: NotStopd t0: [21:08:00 24/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 559 u1: ml/min st: NotStopd t0: [21:08:00 24/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 365.3 u1: ml/m/m st: NotStopd t0: [21:08:00 24/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 559 u1: ml/min st: NotStopd t0: [21:08:00 24/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 365.359 u1: ml/m/m st: NotStopd t0: [21:08:00 24/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 559 u1: ml/min st: NotStopd t0: [21:08:00 24/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 365.359 u1: ml/m/m st: NotStopd t0: [21:08:00 24/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 102 u1: mmHg rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 151 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [21:08:00 24/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [21:08:00 24/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd
t0: [20:39:00 24/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [22:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [22:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0719 u1: ... st: NotStopd t0: [22:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.00848 u1: kg x m st: NotStopd t0: [22:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.92157 u1: ... st: NotStopd t0: [22:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.8064 u1: g * m st: NotStopd t0: [22:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: g*m/m2 st: NotStopd t0: [22:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [22:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.0654 u1: ... st: NotStopd t0: [22:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1463.83 u1: ... st: NotStopd t0: [22:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2241.04 u1: ... st: NotStopd t0: [22:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 45.6311 u1: ml st: NotStopd t0: [22:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [22:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [22:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [22:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [22:00:00 24/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 24/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 90 vu: ml t0: [22:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [22:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [22:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [22:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 24/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
t0: [22:00:00 24/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [22:00:00 24/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 24/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [23:00:00 24/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 24/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 24/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [23:00:00 24/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 24/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 24/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 24/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 24/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [23:00:00 24/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.26904 u1: kg x m st: NotStopd t0: [23:00:00 24/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [23:00:00 24/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.6112 u1: g * m st: NotStopd t0: [23:00:00 24/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: g*m/m2 st: NotStopd t0: [23:00:00 24/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [23:00:00 24/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 24/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 24/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [23:00:00 24/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 24/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [23:00:00 24/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1209.3 u1: ... st: NotStopd t0: [23:00:00 24/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1850.53 u1: ... st: NotStopd t0: [23:00:00 24/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 24/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.4304 u1: ml st: NotStopd t0: [23:00:00 24/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [23:00:00 24/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 24/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [23:00:00 24/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [23:00:00 24/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 24/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [23:00:00 24/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 24/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 24/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 24/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [23:00:00 24/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [23:00:00 24/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [23:00:00 24/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml t0: [00:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [00:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [00:00:00 25/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [00:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [23:00:00 24/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 24/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 190 ap: none
t0: [00:00:00 25/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 182 rs: Manual st: NotStopd
t0: [00:00:00 25/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [00:00:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [00:00:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [00:00:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.2 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [00:00:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 25/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [00:00:00 25/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 25/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 25/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 25/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [00:00:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:00:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 25/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [00:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.16976 u1: kg x m st: NotStopd t0: [00:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [00:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.604 u1: g * m st: NotStopd t0: [00:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.9477 u1: g*m/m2 st: NotStopd t0: [00:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [00:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [00:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [00:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.9477 u1: ... st: NotStopd t0: [00:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1219.05 u1: ... st: NotStopd t0: [00:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1861.82 u1: ... st: NotStopd t0: [00:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.5455 u1: ml st: NotStopd t0: [00:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [00:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [00:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [00:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [00:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [00:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [20:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 24/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 24/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [20:00:00 24/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [21:00:00 24/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 24/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 24/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 24/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 24/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 24/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 24/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 24/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 24/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 25/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 25/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 25/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 25/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 25/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [00:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [00:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 25/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 25/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 25/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 25/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 25/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 25/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 25/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 25/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 25/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 25/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [00:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 25/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [00:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [00:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [01:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [01:00:00 25/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [01:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.34112 u1: kg x m st: NotStopd t0: [01:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [01:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.7808 u1: g * m st: NotStopd t0: [01:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.9477 u1: g*m/m2 st: NotStopd t0: [01:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [01:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: ... st: NotStopd t0: [01:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1295.24 u1: ... st: NotStopd t0: [01:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1978.18 u1: ... st: NotStopd t0: [01:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.5 u1: ml st: NotStopd t0: [01:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [01:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [01:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [01:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [01:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [01:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [01:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [01:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [01:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 25/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -50 cv: -50 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 20 cv: 1137.25 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 70 cv: 2517.25 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1200 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 3430 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -50 cv: -1127.75 ap: none t0: [23:00:00 25/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 3645 ap: none t0: [23:00:00 25/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -50 cv: -2232.36 ap: carryForward
t0: [02:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [02:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [02:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [02:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.8896 u1: kg x m st: NotStopd t0: [02:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.54902 u1: ... st: NotStopd t0: [02:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 49.504 u1: g * m st: NotStopd t0: [02:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 32.6797 u1: g*m/m2 st: NotStopd t0: [02:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [02:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [02:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [02:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [02:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1090.91 u1: ... st: NotStopd t0: [02:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1666.67 u1: ... st: NotStopd t0: [02:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4103 u1: ml st: NotStopd t0: [02:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [02:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [02:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [02:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [02:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [02:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [02:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [02:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [02:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [03:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.45032 u1: kg x m st: NotStopd t0: [03:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.28758 u1: ... st: NotStopd t0: [03:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.132 u1: g * m st: NotStopd t0: [03:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 28.7582 u1: g*m/m2 st: NotStopd t0: [03:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [03:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [03:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [03:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [03:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.9477 u1: ... st: NotStopd t0: [03:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 948.837 u1: ... st: NotStopd t0: [03:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1451.96 u1: ... st: NotStopd t0: [03:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 55.1282 u1: ml st: NotStopd t0: [03:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [03:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [03:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [03:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [03:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [03:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [03:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [03:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.5 vu: ml
t0: [03:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:19:00 25/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:19:00 25/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd
t0: [04:00:00 25/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [04:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [04:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0.25 vu: ml
t0: [04:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [04:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [04:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [03:44:00 25/07/2016] id: Mixed Venous O2 Blood Gases el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [03:44:00 25/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 64 rs: Final st: NotStopd
t0: [22:00:00 24/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 24/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 25/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 25/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:30:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:30:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [03:30:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:30:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:30:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.59856 u1: kg x m st: NotStopd t0: [03:30:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.35294 u1: ... st: NotStopd t0: [03:30:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.2672 u1: g * m st: NotStopd t0: [03:30:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 30.0654 u1: g*m/m2 st: NotStopd t0: [03:30:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [03:30:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:30:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [03:30:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:30:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [03:30:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:30:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [03:30:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 990.476 u1: ... st: NotStopd t0: [03:30:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1512.73 u1: ... st: NotStopd t0: [03:30:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:30:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.8462 u1: ml st: NotStopd t0: [03:30:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [03:30:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:30:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [03:30:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:30:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.25 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:30:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:30:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [04:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [04:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [04:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.48432 u1: kg x m st: NotStopd t0: [04:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.28758 u1: ... st: NotStopd t0: [04:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 44.7984 u1: g * m st: NotStopd t0: [04:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 29.4118 u1: g*m/m2 st: NotStopd t0: [04:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [04:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [04:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [04:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [04:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 971.429 u1: ... st: NotStopd t0: [04:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1483.64 u1: ... st: NotStopd t0: [04:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.8462 u1: ml st: NotStopd t0: [04:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [04:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [04:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [04:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [04:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [04:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:10:00 25/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.4 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.3 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 7.6 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 88.8 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.7 u1: % rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: gm/dl rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 299 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.82 u1: /mic l rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.4 rs: Final st: NotStopd t0: [03:19:00 25/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.5435 u1: ml/dl st: NotStopd t0: [03:19:00 25/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 516 u1: ml/min st: NotStopd t0: [03:19:00 25/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 337.2 u1: ml/m/m st: NotStopd t0: [03:19:00 25/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 516 u1: ml/min st: NotStopd t0: [03:19:00 25/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 337.255 u1: ml/m/m st: NotStopd t0: [03:19:00 25/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 516 u1: ml/min st: NotStopd t0: [03:19:00 25/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 337.255 u1: ml/m/m st: NotStopd t0: [03:44:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: 3161 v1: 3.0719 u1: ... st: NotStopd t0: [03:44:00 25/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: 3161 v1: 4.66418 u1: L/min st: NotStopd t0: [04:00:00 25/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.9091 u1: ml/cmH st: NotStopd t0: [04:00:00 25/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 20.3125 u1: units st: NotStopd t0: [04:00:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [04:00:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 1 st: NotStopd t0: [04:00:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.6 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6 u1: L/min st: NotStopd t0: [04:00:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 25/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [04:00:00 25/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 25/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 20.3125 u1: units st: NotStopd t0: [04:00:00 25/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 25/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [04:00:00 25/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.64 u1: L st: NotStopd t0: [04:00:00 25/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 25/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [04:00:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [04:00:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 25/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:10:00 25/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 50 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 113 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd
t0: [03:10:00 25/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.6 rs: Final st: NotStopd t0: [03:10:00 25/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 36.3 rs: Final st: NotStopd t0: [05:00:00 25/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 57.3 u1: kg st: NotStopd t0: [05:00:00 25/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.01353 u1: m2 st: NotStopd t0: [05:00:00 25/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.18866 u1: m2 st: NotStopd t0: [05:00:00 25/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: -2.7 u1: kg st: NotStopd t0: [05:00:00 25/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd
t0: [04:00:00 25/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 25/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [04:00:00 25/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 25/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 25/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 25/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Small st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 25/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 25/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 25/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 25/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [04:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 25/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [04:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 25/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 25/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 25/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 25/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 25/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 25/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 25/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [04:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [04:00:00 25/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Cloudy st: NotStopd t0: [04:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 25/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 25/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [04:00:00 25/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [04:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [04:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [04:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [04:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [05:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [05:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [05:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [04:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [05:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [05:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [05:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.31664 u1: kg x m st: NotStopd t0: [05:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [05:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 54.4272 u1: g * m st: NotStopd t0: [05:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: g*m/m2 st: NotStopd t0: [05:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [05:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [05:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: ... st: NotStopd t0: [05:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1078.26 u1: ... st: NotStopd t0: [05:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1647.84 u1: ... st: NotStopd t0: [05:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.2278 u1: ml st: NotStopd t0: [05:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [05:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [05:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [05:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [05:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [05:00:00 25/07/2016] tf: [12:00:00 25/07/2016] dt: 420 id: Chest Tubes Other el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 24/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: on t0: [00:00:00 25/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: off t0: [04:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 25/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 25/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [04:00:00 25/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 25/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [04:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [04:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd
t0: [06:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [06:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [06:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [06:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [06:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [06:00:00 25/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [06:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.13725 u1: ... st: NotStopd t0: [06:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.76544 u1: kg x m st: NotStopd t0: [06:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.13725 u1: ... st: NotStopd t0: [06:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.5752 u1: g * m st: NotStopd t0: [06:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: g*m/m2 st: NotStopd t0: [06:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [06:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [06:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [06:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [06:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: ... st: NotStopd t0: [06:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1116.67 u1: ... st: NotStopd t0: [06:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1707.01 u1: ... st: NotStopd t0: [06:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.2593 u1: ml st: NotStopd t0: [06:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [06:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [06:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [06:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [06:00:00 25/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [06:00:00 25/07/2016] id: Chest Tubes Other el: 1 cu: CSRU cg: RN vu: ml
t0: [06:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [07:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [07:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.692 u1: kg x m st: NotStopd t0: [07:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.0719 u1: ... st: NotStopd t0: [07:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.1 u1: g * m st: NotStopd t0: [07:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: g*m/m2 st: NotStopd t0: [07:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [07:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [07:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [07:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [07:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.9477 u1: ... st: NotStopd t0: [07:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1200 u1: ... st: NotStopd t0: [07:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1833.89 u1: ... st: NotStopd t0: [07:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.7619 u1: ml st: NotStopd t0: [07:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [07:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [07:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [07:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [07:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [07:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [07:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [07:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [07:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [07:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 25/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 155 rs: Manual st: NotStopd
t0: [08:00:00 25/07/2016] id: Neg Insp Force(>-25) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 25/07/2016] id: Vital Cap (>1.0)L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:15:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RT v1: 20cm v2: Lip st: NotStopd t0: [08:15:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [08:15:00 25/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RT v1: 6 u1: lpm st: NotStopd t0: [08:15:00 25/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [08:15:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 40 u1: BPM st: NotStopd t0: [08:15:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [08:15:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Endotracheal st: NotStopd t0: [08:15:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 34.9 u1: Deg. C st: NotStopd t0: [08:15:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 6 st: NotStopd t0: [08:15:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 3.5 st: NotStopd t0: [08:15:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:15:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 6.8 u1: cmH2O st: NotStopd t0: [08:15:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 9.6 u1: L/min st: NotStopd t0: [08:15:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:15:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 25 st: NotStopd t0: [08:15:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 8 u1: . st: NotStopd t0: [08:15:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 16 u1: BPM st: NotStopd t0: [08:15:00 25/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RT v1: Yellow v2: Thick st: NotStopd t0: [08:15:00 25/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RT v1: Suctioned v2: Small st: NotStopd t0: [08:15:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 580 u1: ml/B st: NotStopd t0: [08:15:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RT v1: 8 u1: # st: NotStopd t0: [08:15:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: 7200A st: NotStopd
t0: [08:15:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: CPAP+PS st: NotStopd
t0: [07:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [07:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v2: H2 Blocker st: NotStopd t0: [07:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [07:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [07:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [07:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [07:00:00 25/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [07:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [07:00:00 25/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [07:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [07:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [07:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [07:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [07:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [07:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [07:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [07:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [07:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [07:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [07:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [07:00:00 25/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [07:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [07:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [07:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [07:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [07:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [07:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [07:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [07:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [07:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [07:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [07:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [07:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [07:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [07:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [07:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [07:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:00:00 25/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 25/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [08:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [08:00:00 25/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [08:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 25/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 25/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.79808 u1: kg x m st: NotStopd t0: [08:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.13725 u1: ... st: NotStopd t0: [08:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.8144 u1: g * m st: NotStopd t0: [08:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: g*m/m2 st: NotStopd t0: [08:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [08:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [08:00:00 25/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 25/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [08:00:00 25/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Passive v2: All Extremities st: NotStopd t0: [08:00:00 25/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 25/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 25/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 25/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 25/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: ... st: NotStopd t0: [08:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1110.2 u1: ... st: NotStopd t0: [08:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1700 u1: ... st: NotStopd t0: [08:00:00 25/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.9767 u1: ml st: NotStopd t0: [08:00:00 25/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [08:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [08:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [08:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [08:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [08:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [08:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml t0: [08:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [08:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:52:00 25/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 103 u1: mmHg rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [08:52:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 149 rs: Final st: NotStopd t0: [08:52:00 25/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd
t0: [09:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [09:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [09:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.86432 u1: kg x m st: NotStopd t0: [09:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.85621 u1: ... st: NotStopd t0: [09:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 63.4304 u1: g * m st: NotStopd t0: [09:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 41.1765 u1: g*m/m2 st: NotStopd t0: [09:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [09:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [09:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: ... st: NotStopd t0: [09:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1355.1 u1: ... st: NotStopd t0: [09:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2075 u1: ... st: NotStopd t0: [09:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.2609 u1: ml st: NotStopd t0: [09:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [09:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [09:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [09:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [09:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 25/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [09:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [09:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [09:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml t0: [09:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [09:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 180 ap: none
t0: [08:05:00 25/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [08:00:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd
t0: [09:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [09:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [09:00:00 25/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd
t0: [10:00:00 25/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: on t0: [10:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 25/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 25/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 25/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
tf: [10:00:00 26/07/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: DopAmine v1: 400 u1: mg m2: D5W v2: 250 u2: ml tf: [15:00:00 19/08/2016] pt: Unit Dose rt: NG fr: QD fs: 10 dn: 1 m1: Lansoprazole Oral Solution v1: 30 u1: mg
t0: [08:52:00 25/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [10:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [10:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.48432 u1: kg x m st: NotStopd t0: [10:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.28758 u1: ... st: NotStopd t0: [10:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 38.9912 u1: g * m st: NotStopd t0: [10:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.4902 u1: g*m/m2 st: NotStopd t0: [10:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [10:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [10:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [10:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 30.719 u1: ... st: NotStopd t0: [10:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1047.62 u1: ... st: NotStopd t0: [10:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1600 u1: ... st: NotStopd t0: [10:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.191 u1: ml st: NotStopd t0: [10:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [10:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [10:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [10:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [10:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [10:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [10:00:00 25/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [10:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [10:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [10:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 25/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [10:00:00 25/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml
t0: [07:00:00 25/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 25/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 25/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [08:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 25/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 25/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [08:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [08:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [10:48:00 25/07/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [11:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.54902 u1: ... st: NotStopd t0: [11:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 3.81888 u1: kg x m st: NotStopd t0: [11:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.48366 u1: ... st: NotStopd t0: [11:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 52.8768 u1: g * m st: NotStopd t0: [11:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: g*m/m2 st: NotStopd t0: [11:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [11:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [11:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [11:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1374.36 u1: ... st: NotStopd t0: [11:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2101.96 u1: ... st: NotStopd t0: [11:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 54.1667 u1: ml st: NotStopd t0: [11:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [11:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [11:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [11:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 3.9 u1: L/min st: NotStopd
t0: [11:00:00 25/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [11:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [11:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [11:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml
t0: [11:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:30:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.61438 u1: ... st: NotStopd t0: [11:30:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:30:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.4064 u1: kg x m st: NotStopd t0: [11:30:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [11:30:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.3848 u1: g * m st: NotStopd t0: [11:30:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: g*m/m2 st: NotStopd t0: [11:30:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 35 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:30:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:30:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:30:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [11:30:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:30:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: ... st: NotStopd t0: [11:30:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1540 u1: ... st: NotStopd t0: [11:30:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2360.15 u1: ... st: NotStopd t0: [11:30:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.6316 u1: ml st: NotStopd t0: [11:30:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 61 u1: % st: NotStopd t0: [11:30:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:30:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [11:30:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [11:30:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd
t0: [11:30:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:30:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:30:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:05:00 25/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [08:05:00 25/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [08:05:00 25/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [08:05:00 25/07/2016] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 404 rs: Final st: NotStopd t0: [08:05:00 25/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd
t0: [12:00:00 25/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CSRU cg: -1 ai: 209 vo: 0 st: D/C'd t0: [12:00:00 25/07/2016] id: Chest Tubes Other el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
id: .9% Normal Saline el: 2 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [11:45:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:45:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:45:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.61438 u1: ... st: NotStopd t0: [11:45:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:45:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [11:45:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.624 u1: kg x m st: NotStopd t0: [11:45:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [11:45:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.268 u1: g * m st: NotStopd t0: [11:45:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.8693 u1: g*m/m2 st: NotStopd t0: [11:45:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [11:45:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:45:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:45:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:45:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [11:45:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:45:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: ... st: NotStopd t0: [11:45:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1620 u1: ... st: NotStopd t0: [11:45:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2482.76 u1: ... st: NotStopd t0: [11:45:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:45:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.6316 u1: ml st: NotStopd t0: [11:45:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [11:45:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:45:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [11:45:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [11:45:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4 u1: L/min st: NotStopd t0: [12:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [12:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [12:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.94224 u1: kg x m st: NotStopd t0: [12:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [12:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 65.5384 u1: g * m st: NotStopd t0: [12:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.1373 u1: g*m/m2 st: NotStopd t0: [12:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [12:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [12:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [12:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 39.8693 u1: ... st: NotStopd t0: [12:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1269.57 u1: ... st: NotStopd t0: [12:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1940.2 u1: ... st: NotStopd t0: [12:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 60.5263 u1: ml st: NotStopd t0: [12:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [12:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [12:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [12:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [11:45:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:45:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:45:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:45:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/07/2016] id: Midazolam el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [12:15:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RT v1: 20cm v2: Lip st: NotStopd t0: [12:15:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RT v2: 1 st: NotStopd t0: [12:15:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [12:15:00 25/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RT v1: 6 u1: lpm st: NotStopd t0: [12:15:00 25/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [12:15:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [12:15:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 40 u1: BPM st: NotStopd t0: [12:15:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [12:15:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Endotracheal st: NotStopd t0: [12:15:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 34.5 u1: Deg. C st: NotStopd t0: [12:15:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 6 st: NotStopd t0: [12:15:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 3.5 st: NotStopd t0: [12:15:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:15:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 6.8 u1: cmH2O st: NotStopd t0: [12:15:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 6 u1: L/min st: NotStopd t0: [12:15:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [12:15:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 25 st: NotStopd t0: [12:15:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 8 u1: . st: NotStopd t0: [12:15:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 14 u1: BPM st: NotStopd t0: [12:15:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RT v1: 100 u1: % st: NotStopd t0: [12:15:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 450 u1: ml/B st: NotStopd t0: [12:15:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: CPAP+PS st: NotStopd t0: [12:15:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RT v1: 8 u1: # st: NotStopd t0: [12:15:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: 7200A st: NotStopd
t0: [12:00:00 25/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 25/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 25/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN t0: [12:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [12:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [12:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 25/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 25/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 25/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 25/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 25/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [12:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [12:00:00 25/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 25/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Passive st: NotStopd t0: [12:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 25/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 25/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 25/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 25/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 25/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 25/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [12:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 25/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [12:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [12:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 25/07/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [08:00:00 25/07/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 25/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [08:00:00 25/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 25/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 25/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 25/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [08:00:00 25/07/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [11:00:00 25/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Blood Cultured st: NotStopd t0: [12:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 25/07/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [12:00:00 25/07/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [12:00:00 25/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [12:00:00 25/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [12:00:00 25/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 25/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [12:00:00 25/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [12:00:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [12:00:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [12:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 25/07/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [12:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [12:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 25/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 25/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [12:00:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [12:00:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 25/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 25/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd
t0: [12:00:00 25/07/2016] tf: [13:00:00 26/07/2016] dt: 1500 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 25/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [12:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [13:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [13:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml
t0: [12:50:00 25/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:50:00 25/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [13:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [13:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.62496 u1: kg x m st: NotStopd t0: [13:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.66013 u1: ... st: NotStopd t0: [13:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 71.5904 u1: g * m st: NotStopd t0: [13:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 47.0588 u1: g*m/m2 st: NotStopd t0: [13:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 46 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [13:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [13:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [13:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [13:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1563.64 u1: ... st: NotStopd t0: [13:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2388.89 u1: ... st: NotStopd t0: [13:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.4103 u1: ml st: NotStopd t0: [13:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [13:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [13:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [13:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [13:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [13:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [13:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:30:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:30:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [13:30:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [13:30:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [13:30:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [13:30:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:30:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [13:30:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:30:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:09:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 9 u1: L/min st: NotStopd t0: [14:09:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [14:09:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 5 u1: . st: NotStopd t0: [14:09:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 19 u1: BPM st: NotStopd t0: [14:09:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 490 u1: ml/B st: NotStopd
t0: [14:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [14:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.19152 u1: kg x m st: NotStopd t0: [14:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [14:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 58.3168 u1: g * m st: NotStopd t0: [14:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: g*m/m2 st: NotStopd t0: [14:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [14:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [14:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 41.8301 u1: ... st: NotStopd t0: [14:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 956.522 u1: ... st: NotStopd t0: [14:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1461.79 u1: ... st: NotStopd t0: [14:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.8889 u1: ml st: NotStopd t0: [14:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [14:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [14:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [14:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [14:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [14:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:50:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Final st: NotStopd t0: [13:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [13:00:00 25/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 25/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [14:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 25/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [14:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [14:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [14:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [14:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml
t0: [13:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:30:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [16:07:00 25/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 34.6154 u1: ml/cmH st: NotStopd t0: [16:07:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:07:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:07:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:07:00 25/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:07:00 25/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:07:00 25/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.6 st: NotStopd t0: [16:07:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:07:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:07:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34.8 u1: Deg. C st: NotStopd t0: [16:07:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [16:07:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:07:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.8 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [16:07:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [16:07:00 25/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:07:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:07:00 25/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [16:07:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [16:07:00 25/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:07:00 25/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:07:00 25/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:07:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [16:07:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:07:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:07:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [16:07:00 25/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: CSRU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push id: Cath Lab Intake el: 1 cu: CSRU cg: RN io: Cath Lab Intake Cath Lab Intake du: ml rt: Intravenous Push
t0: [15:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.94118 u1: ... st: NotStopd t0: [15:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.1408 u1: kg x m st: NotStopd t0: [15:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.33333 u1: ... st: NotStopd t0: [15:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.2592 u1: g * m st: NotStopd t0: [15:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.1373 u1: g*m/m2 st: NotStopd t0: [15:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [15:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: ... st: NotStopd t0: [15:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1351.11 u1: ... st: NotStopd t0: [15:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2068.03 u1: ... st: NotStopd t0: [15:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.4416 u1: ml st: NotStopd t0: [15:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [15:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [15:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [15:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [15:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd t0: [16:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [16:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [16:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 25/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: on t0: [16:00:00 25/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 25/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 20cm v2: Lip st: NotStopd t0: [16:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v2: 1 st: NotStopd t0: [16:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [16:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [16:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [16:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [16:00:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [16:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.67256 u1: kg x m st: NotStopd t0: [16:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.72549 u1: ... st: NotStopd t0: [16:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 68.5984 u1: g * m st: NotStopd t0: [16:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 45.098 u1: g*m/m2 st: NotStopd t0: [16:00:00 25/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 25/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 25/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 25/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [16:00:00 25/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 25/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [16:00:00 25/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: None/Remarks st: NotStopd t0: [16:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 25/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [16:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.9869 u1: ... st: NotStopd t0: [16:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1655.81 u1: ... st: NotStopd t0: [16:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2533.81 u1: ... st: NotStopd t0: [16:00:00 25/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 25/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [16:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.8072 u1: ml st: NotStopd t0: [16:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [16:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [16:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [16:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [16:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 25/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 8 u1: # st: NotStopd t0: [16:00:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [16:00:00 25/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 25/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd t0: [16:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [16:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [16:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [16:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [17:00:00 25/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [17:00:00 25/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [17:00:00 25/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/07/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [17:00:00 25/07/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [17:00:00 25/07/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [17:00:00 25/07/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [17:00:00 25/07/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 25/07/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [17:00:00 25/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [17:00:00 25/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [17:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Transparent v2: Intact st: NotStopd t0: [17:00:00 25/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [17:00:00 25/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [17:00:00 25/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [17:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.32752 u1: kg x m st: NotStopd t0: [17:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [17:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.3648 u1: g * m st: NotStopd t0: [17:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: g*m/m2 st: NotStopd t0: [17:00:00 25/07/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [17:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [17:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 25/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [17:00:00 25/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 25/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [17:00:00 25/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 25/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 25/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: ... st: NotStopd t0: [17:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1134.88 u1: ... st: NotStopd t0: [17:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1736.65 u1: ... st: NotStopd t0: [17:00:00 25/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 25/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [17:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 57.3333 u1: ml st: NotStopd t0: [17:00:00 25/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [17:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [17:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [17:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [17:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [17:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 25/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [17:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [15:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 25/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [15:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [15:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [15:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [16:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [16:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [16:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [17:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [17:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [17:00:00 25/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [17:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [15:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 25/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 25 ap: none
t0: [17:00:00 25/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [16:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 28/07/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate v1: 25-50 u1: mcg tf: [09:00:00 28/07/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Fentanyl Citrate v1: 25-50 u1: mcg
t0: [18:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.13725 u1: ... st: NotStopd t0: [18:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.41824 u1: kg x m st: NotStopd t0: [18:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.52941 u1: ... st: NotStopd t0: [18:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 66.5992 u1: g * m st: NotStopd t0: [18:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.7908 u1: g*m/m2 st: NotStopd t0: [18:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [18:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: ... st: NotStopd t0: [18:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1250 u1: ... st: NotStopd t0: [18:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1910.83 u1: ... st: NotStopd t0: [18:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 59.2593 u1: ml st: NotStopd t0: [18:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [18:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [18:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [18:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [18:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.8 u1: L/min st: NotStopd
t0: [17:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [18:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [18:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [18:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN rs: Manual st: NotStopd t0: [18:00:00 25/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 154 rs: Manual st: NotStopd
t0: [19:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.94118 u1: ... st: NotStopd t0: [19:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [19:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.59 u1: kg x m st: NotStopd t0: [19:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [19:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 57.12 u1: g * m st: NotStopd t0: [19:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: g*m/m2 st: NotStopd t0: [19:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [19:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [19:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [19:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1208.89 u1: ... st: NotStopd t0: [19:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1850.34 u1: ... st: NotStopd t0: [19:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.25 u1: ml st: NotStopd t0: [19:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [19:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [19:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [19:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [19:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [19:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [19:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [19:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 25/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [18:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 25/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [18:00:00 25/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 25/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [18:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [18:00:00 25/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [19:00:00 25/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [19:00:00 25/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 25/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 25/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 25/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 25/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 25/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 25/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 25/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 25/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [20:00:00 25/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 25/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 25/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 25/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 25/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 25/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 25/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 25/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 25/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [20:00:00 25/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 25/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 25/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 25/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 25/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [20:00:00 25/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 25/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 25/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 25/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 25/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 25/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [20:00:00 25/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd
t0: [20:00:00 25/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 25/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 25/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 25/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [20:00:00 25/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 25/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 25/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [20:00:00 25/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [20:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [20:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [20:00:00 25/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.9091 u1: ml/cmH st: NotStopd t0: [20:00:00 25/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 25/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:00:00 25/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 25/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 25/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 2.4 st: NotStopd t0: [20:00:00 25/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 25/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 25/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [20:00:00 25/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [20:00:00 25/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 25/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [20:00:00 25/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [20:00:00 25/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [20:00:00 25/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 25/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 25/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 25/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:00:00 25/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [20:00:00 25/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 25/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 25/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:00:00 25/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 25/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 25/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 25/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 25/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [20:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.0719 u1: ... st: NotStopd t0: [20:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.92184 u1: kg x m st: NotStopd t0: [20:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [20:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.7848 u1: g * m st: NotStopd t0: [20:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 40.5229 u1: g*m/m2 st: NotStopd t0: [20:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [20:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [20:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [20:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: ... st: NotStopd t0: [20:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1208.51 u1: ... st: NotStopd t0: [20:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1850.16 u1: ... st: NotStopd t0: [20:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.75 u1: ml st: NotStopd t0: [20:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 69 u1: % st: NotStopd t0: [20:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [20:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [20:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.7 u1: L/min st: NotStopd
t0: [20:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [21:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [21:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [21:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [21:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [21:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [21:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [21:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [21:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [21:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [21:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [09:00:00 28/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Haloperidol v1: 2 u1: mg tf: [14:00:00 01/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg
t0: [21:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [21:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.13088 u1: kg x m st: NotStopd t0: [21:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.98693 u1: ... st: NotStopd t0: [21:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 72.5696 u1: g * m st: NotStopd t0: [21:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 47.7124 u1: g*m/m2 st: NotStopd t0: [21:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: ... st: NotStopd t0: [21:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1404.08 u1: ... st: NotStopd t0: [21:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2150 u1: ... st: NotStopd t0: [21:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.3333 u1: ml st: NotStopd t0: [21:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd t0: [22:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.26797 u1: ... st: NotStopd t0: [22:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [22:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.664 u1: kg x m st: NotStopd t0: [22:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.37908 u1: ... st: NotStopd t0: [22:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 74.6368 u1: g * m st: NotStopd t0: [22:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 49.0196 u1: g*m/m2 st: NotStopd t0: [22:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [22:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [22:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [22:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [22:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1504 u1: ... st: NotStopd t0: [22:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2299.69 u1: ... st: NotStopd t0: [22:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.1798 u1: ml st: NotStopd t0: [22:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [22:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.2 u1: Deg. C st: NotStopd t0: [22:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.76 u1: Deg. F st: NotStopd t0: [22:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5 u1: L/min st: NotStopd
t0: [22:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 25/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vu: ml t0: [22:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [22:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 25/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 25/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 25/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.20261 u1: ... st: NotStopd t0: [23:00:00 25/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 25/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 25/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 25/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [23:00:00 25/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 25/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.26456 u1: kg x m st: NotStopd t0: [23:00:00 25/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.46405 u1: ... st: NotStopd t0: [23:00:00 25/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.2408 u1: g * m st: NotStopd t0: [23:00:00 25/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.8693 u1: g*m/m2 st: NotStopd t0: [23:00:00 25/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg v2: 12 u2: mmHg st: NotStopd t0: [23:00:00 25/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 25/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [23:00:00 25/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 25/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [23:00:00 25/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [23:00:00 25/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: ... st: NotStopd t0: [23:00:00 25/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1191.84 u1: ... st: NotStopd t0: [23:00:00 25/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 1825 u1: ... st: NotStopd t0: [23:00:00 25/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 25/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.9767 u1: ml st: NotStopd t0: [23:00:00 25/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd t0: [23:00:00 25/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 25/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [23:00:00 25/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [23:00:00 25/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 25/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.9 u1: L/min st: NotStopd
t0: [23:00:00 25/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 25/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 25/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [23:00:00 25/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [23:00:00 25/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 25/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 25/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 102 rs: Manual st: NotStopd
t0: [00:00:00 26/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.9091 u1: ml/cmH st: NotStopd t0: [00:00:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [00:00:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [00:00:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [00:00:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [00:00:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [00:00:00 26/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [00:00:00 26/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 26/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 26/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 26/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 26/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [00:00:00 26/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [00:00:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [00:00:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 26/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [00:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [00:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [00:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [00:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [00:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [00:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [00:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [00:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [00:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 90 cv: 90 ap: none t0: [23:00:00 26/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 170 cv: 1490 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 170 cv: 2775 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: 3161 cv: 555 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 90 cv: 3680 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 80 cv: -1460 ap: carryForward t0: [23:00:00 26/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 90 cv: 4235 ap: carryForward t0: [23:00:00 26/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 80 cv: -3692.36 ap: carryForward
t0: [00:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.33333 u1: ... st: NotStopd t0: [00:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.17304 u1: kg x m st: NotStopd t0: [00:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 4.05229 u1: ... st: NotStopd t0: [00:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.7824 u1: g * m st: NotStopd t0: [00:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 44.4444 u1: g*m/m2 st: NotStopd t0: [00:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [00:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1333.33 u1: ... st: NotStopd t0: [00:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2042.04 u1: ... st: NotStopd t0: [00:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.044 u1: ml st: NotStopd t0: [00:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 64 u1: % st: NotStopd t0: [00:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.1 u1: L/min st: NotStopd
t0: [01:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [01:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67974 u1: ... st: NotStopd t0: [01:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.07048 u1: kg x m st: NotStopd t0: [01:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.67974 u1: ... st: NotStopd t0: [01:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 56.5896 u1: g * m st: NotStopd t0: [01:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: g*m/m2 st: NotStopd t0: [01:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [01:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [01:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.2549 u1: ... st: NotStopd t0: [01:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1346.34 u1: ... st: NotStopd t0: [01:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2059.7 u1: ... st: NotStopd t0: [01:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.9444 u1: ml st: NotStopd t0: [01:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [01:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [01:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [01:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [01:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [01:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [01:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [01:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [02:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.34112 u1: kg x m st: NotStopd t0: [02:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [02:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.9488 u1: g * m st: NotStopd t0: [02:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.2157 u1: g*m/m2 st: NotStopd t0: [02:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [02:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [02:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 37.9085 u1: ... st: NotStopd t0: [02:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1314.29 u1: ... st: NotStopd t0: [02:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2007.27 u1: ... st: NotStopd t0: [02:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.3333 u1: ml st: NotStopd t0: [02:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [02:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [02:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [02:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd
t0: [02:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [02:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [02:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.7451 u1: ... st: NotStopd t0: [03:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.62672 u1: kg x m st: NotStopd t0: [03:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [03:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 59.4864 u1: g * m st: NotStopd t0: [03:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 38.5621 u1: g*m/m2 st: NotStopd t0: [03:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [03:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [03:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [03:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1390.48 u1: ... st: NotStopd t0: [03:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2123.64 u1: ... st: NotStopd t0: [03:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.8462 u1: ml st: NotStopd t0: [03:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 62 u1: % st: NotStopd t0: [03:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [03:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [03:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.2 u1: L/min st: NotStopd t0: [04:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [04:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [04:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [04:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 4.54784 u1: kg x m st: NotStopd t0: [04:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.94118 u1: ... st: NotStopd t0: [04:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.8144 u1: g * m st: NotStopd t0: [04:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: g*m/m2 st: NotStopd t0: [04:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [04:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [04:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [04:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 35.2941 u1: ... st: NotStopd t0: [04:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1309.09 u1: ... st: NotStopd t0: [04:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2000 u1: ... st: NotStopd t0: [04:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 53.6585 u1: ml st: NotStopd t0: [04:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 63 u1: % st: NotStopd t0: [04:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [04:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [04:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [03:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [03:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [03:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [04:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [04:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [04:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [03:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:40:00 26/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [04:40:00 26/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [05:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [05:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [05:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [05:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [05:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [05:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [05:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [05:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [05:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [05:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.81046 u1: ... st: NotStopd t0: [05:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.5556 u1: kg x m st: NotStopd t0: [05:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.66013 u1: ... st: NotStopd t0: [05:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 67.184 u1: g * m st: NotStopd t0: [05:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 43.7908 u1: g*m/m2 st: NotStopd t0: [05:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 33.9869 u1: ... st: NotStopd t0: [05:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1488.37 u1: ... st: NotStopd t0: [05:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2277.58 u1: ... st: NotStopd t0: [05:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.439 u1: ml st: NotStopd t0: [05:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [05:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.3 u1: L/min st: NotStopd
t0: [04:57:00 26/07/2016] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: 3161 v1: 69 rs: Final st: NotStopd
t0: [05:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [05:00:00 26/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [05:00:00 26/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 53.4884 u1: units st: NotStopd t0: [05:00:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [05:00:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [05:00:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [05:00:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [05:00:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [05:00:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [05:00:00 26/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [05:00:00 26/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 26/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 53.4884 u1: units st: NotStopd t0: [05:00:00 26/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 26/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [05:00:00 26/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.43 u1: L st: NotStopd t0: [05:00:00 26/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [05:00:00 26/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [05:00:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 30 u1: ml/B st: NotStopd t0: [05:00:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:00:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 26/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:30:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:30:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [05:30:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:30:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:30:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:30:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:30:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:30:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:30:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [05:30:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [05:30:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [05:30:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [05:30:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:30:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [05:30:00 26/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [05:30:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:30:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [05:30:00 26/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:30:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [05:30:00 26/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [05:30:00 26/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:30:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:30:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:30:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:30:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [06:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [06:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.94118 u1: ... st: NotStopd t0: [06:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 7.65 u1: kg x m st: NotStopd t0: [06:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.03268 u1: ... st: NotStopd t0: [06:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 33 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [06:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 111 u2: mmHg st: NotStopd t0: [06:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg st: NotStopd t0: [06:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2151.11 u1: ... st: NotStopd t0: [06:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3292.52 u1: ... st: NotStopd t0: [06:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 60 u1: % st: NotStopd t0: [06:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.5 u1: L/min st: NotStopd
t0: [06:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [06:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 90.1 u1: g * m st: NotStopd t0: [06:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 58.8235 u1: g*m/m2 st: NotStopd t0: [06:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [06:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 34.6405 u1: ... st: NotStopd t0: [06:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 52.9412 u1: ml st: NotStopd t0: [06:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [06:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [06:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [06:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [06:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [07:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [07:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [07:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [07:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [07:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [07:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [07:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [07:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [07:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [07:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [07:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [07:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 26/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 26/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 26/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [00:00:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 26/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 26/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 26/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 26/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 26/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 26/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [00:00:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Moves on Bed st: NotStopd t0: [00:00:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [00:00:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [00:00:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [00:00:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [05:00:00 26/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [05:00:00 26/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [06:45:00 26/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.6 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 320 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.26 u1: /mic l rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.6 rs: Final st: NotStopd
t0: [03:00:00 26/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 26/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [03:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 26/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [06:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [06:00:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [06:00:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [06:00:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [06:00:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [06:00:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [06:00:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Golden v2: Liquid st: NotStopd t0: [06:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [06:00:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [06:00:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [06:00:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [06:00:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [06:00:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Positive st: NotStopd t0: [06:00:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [06:45:00 26/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 32.5 rs: Final st: NotStopd
t0: [06:45:00 26/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.6 u1: mg/dl rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 160 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 149 rs: Final st: NotStopd
t0: [08:20:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:20:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:20:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:20:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:20:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:20:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:20:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:20:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:20:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:20:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [08:20:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [08:20:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:20:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:20:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [08:20:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:20:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [08:20:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:20:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [08:20:00 26/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:20:00 26/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:20:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:20:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:20:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:20:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [08:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [08:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 8.49728 u1: kg x m st: NotStopd t0: [08:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 5.55556 u1: ... st: NotStopd t0: [08:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 94.6288 u1: g * m st: NotStopd t0: [08:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 62.0915 u1: g*m/m2 st: NotStopd t0: [08:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 134 u2: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg st: NotStopd t0: [08:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [08:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.0261 u1: ... st: NotStopd t0: [08:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 2472.73 u1: ... st: NotStopd t0: [08:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 3777.78 u1: ... st: NotStopd t0: [08:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 48.8889 u1: ml st: NotStopd t0: [08:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [08:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [08:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [08:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [08:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 26/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 20 vu: ml t0: [08:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml t0: [08:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [08:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 65 vu: ml t0: [08:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [08:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/07/2016] id: Dopamine el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 26/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 730 ap: none t0: [23:00:00 26/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: 3161 cv: 255 ap: none
t0: [06:45:00 26/07/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 11.7 rs: Final st: NotStopd
t0: [09:00:00 26/07/2016] id: Cartridge/Bag Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 26/07/2016] id: Initials (2 RNs) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 26/07/2016] id: Med Wasted/Amt el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 26/07/2016] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 3 cu: CSRU cg: -1 ai: 115 vo: 0 st: D/C'd t0: [09:00:00 26/07/2016] id: Stool Out Stool el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 66 u1: % st: NotStopd t0: [09:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.87582 u1: ... st: NotStopd t0: [09:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [09:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.62496 u1: kg x m st: NotStopd t0: [09:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.66013 u1: ... st: NotStopd t0: [09:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 61.3632 u1: g * m st: NotStopd t0: [09:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 39.8693 u1: g*m/m2 st: NotStopd t0: [09:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [09:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [09:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 31.3725 u1: ... st: NotStopd t0: [09:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1545.45 u1: ... st: NotStopd t0: [09:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2361.11 u1: ... st: NotStopd t0: [09:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 47.8261 u1: ml st: NotStopd t0: [09:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 67 u1: % st: NotStopd t0: [09:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [09:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [09:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [09:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.4 u1: L/min st: NotStopd
t0: [09:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml st: Stopped t0: [09:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [09:00:00 26/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [09:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 290 vu: ml
t0: [09:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 26/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: 3161 cv: 300 ap: carryForward
t0: [09:06:00 26/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [09:06:00 26/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5436 u1: ml/dl st: NotStopd t0: [09:06:00 26/07/2016] id: DO2 el: 0 cu: CSRU cg: 3161 v1: 572 u1: ml/min st: NotStopd t0: [09:06:00 26/07/2016] id: DO2I el: 0 cu: CSRU cg: 3161 v1: 374.4 u1: ml/m/m st: NotStopd t0: [09:06:00 26/07/2016] id: zzO2AV el: 0 cu: CSRU cg: 3161 v1: 572 u1: ml/min st: NotStopd t0: [09:06:00 26/07/2016] id: zzO2AVI el: 0 cu: CSRU cg: 3161 v1: 373.856 u1: ml/m/m st: NotStopd t0: [09:06:00 26/07/2016] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 572 u1: ml/min st: NotStopd t0: [09:06:00 26/07/2016] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 373.856 u1: ml/m/m st: NotStopd t0: [09:06:00 26/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [09:06:00 26/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [09:00:00 26/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: on
t0: [08:00:00 26/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [08:00:00 26/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd
t0: [09:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 26/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 100 vu: ml
id: Free Water Bolus el: 1 cu: CSRU cg: RN io: Free Water Bolus PO/Gastric du: ml rt: Nasogastric
t0: [06:45:00 26/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.8 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [08:00:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 26/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 26/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [08:00:00 26/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 26/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 26/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [08:00:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: CCO PA Line v2: Right Subclavian st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 26/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 26/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 26/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 26/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: Intact st: NotStopd t0: [08:00:00 26/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 26/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 26/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [08:00:00 26/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 26/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 26/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 26/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 26/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 26/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [08:00:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 26/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 26/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 26/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 26/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [08:00:00 26/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 26/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 26/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 26/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 26/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [08:00:00 26/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [08:00:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [08:00:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:30:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:30:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:30:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [08:30:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:30:00 26/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:30:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:30:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:30:00 26/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 3.00654 u1: ... st: NotStopd t0: [10:00:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 6.06832 u1: kg x m st: NotStopd t0: [10:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.98693 u1: ... st: NotStopd t0: [10:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 64.6408 u1: g * m st: NotStopd t0: [10:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 42.4837 u1: g*m/m2 st: NotStopd t0: [10:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.3333 u1: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [10:00:00 26/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [10:00:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 32.0261 u1: ... st: NotStopd t0: [10:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1547.83 u1: ... st: NotStopd t0: [10:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2365.45 u1: ... st: NotStopd t0: [10:00:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 49.4624 u1: ml st: NotStopd t0: [10:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [10:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [10:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [10:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [10:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [10:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.6 u1: L/min st: NotStopd
t0: [10:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 26/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 26/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 50 vu: ml t0: [10:00:00 26/07/2016] tf: [12:00:00 26/07/2016] dt: 120 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 30 vu: ml t0: [10:00:00 26/07/2016] tf: [11:00:00 12/08/2016] dt: 24540 id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml t0: [10:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [10:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [10:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [10:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.3333 u1: mmHg st: NotStopd
t0: [06:45:00 26/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.5 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [06:45:00 26/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 124 rs: Final st: NotStopd
t0: [11:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.67974 u1: ... st: NotStopd t0: [11:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [11:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 26/07/2016] id: LCW el: 0 cu: CSRU cg: RN v1: 5.68752 u1: kg x m st: NotStopd t0: [11:00:00 26/07/2016] id: LCWI el: 0 cu: CSRU cg: RN v1: 3.72549 u1: ... st: NotStopd t0: [11:00:00 26/07/2016] id: LVSW el: 0 cu: CSRU cg: RN v1: 77.6832 u1: g * m st: NotStopd t0: [11:00:00 26/07/2016] id: LVSWI el: 0 cu: CSRU cg: RN v1: 50.9804 u1: g*m/m2 st: NotStopd t0: [11:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [11:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [11:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 26/07/2016] id: SVI el: 0 cu: CSRU cg: RN v1: 36.6013 u1: ... st: NotStopd t0: [11:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: RN v1: 1795.12 u1: ... st: NotStopd t0: [11:00:00 26/07/2016] id: SVRI el: 0 cu: CSRU cg: RN v1: 2746.27 u1: ... st: NotStopd t0: [11:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 26/07/2016] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.1644 u1: ml st: NotStopd t0: [11:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 65 u1: % st: NotStopd t0: [11:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [11:00:00 26/07/2016] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [11:00:00 26/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [11:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.1 u1: L/min st: NotStopd
t0: [11:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [11:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [11:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [11:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: RN v1: 68 u1: % st: NotStopd
t0: [06:45:00 26/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd
tf: [10:00:00 27/07/2016] pt: IV Piggyback rt: IV fr: ASDIR dn: 2 m1: Famotidine v1: 20 u1: mg m2: Iso-Osmotic Sodium Chloride v2: 50 u2: ml tf: [10:00:00 27/07/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Methylprednisolone Na Succ. v1: 60 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [10:00:00 27/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 12 dn: 1 m1: Diphenhydramine HCl v1: 50 u1: mg
t0: [08:00:00 26/07/2016] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [12:00:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [12:00:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [12:00:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:00:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [12:00:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [12:00:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [12:00:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [12:00:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:00:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [12:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [12:00:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [12:00:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 26/07/2016] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: PAP S/D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: PCWP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: PVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: Swan SVO2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: C.O. (fick) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [13:00:00 26/07/2016] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [13:00:00 26/07/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [13:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [13:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [13:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [13:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [13:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [13:00:00 26/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [13:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [13:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 26/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 40 vu: ml t0: [13:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [13:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [12:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 125 vu: ml t0: [13:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml
t0: [12:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [12:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [12:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [12:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [12:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [12:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd
t0: [12:00:00 26/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd
t0: [13:26:00 26/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [13:26:00 26/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.651 u1: ml/dl st: NotStopd t0: [13:26:00 26/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [13:26:00 26/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [12:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vu: ml st: Stopped
tf: [10:00:00 27/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 14 dn: 1 m1: Fentanyl Citrate v1: 150 u1: mcg
t0: [13:26:00 26/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [14:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [14:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.6667 u1: mmHg st: NotStopd t0: [14:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [14:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [14:00:00 26/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [14:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [14:00:00 26/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vu: ml es: Large t0: [14:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [14:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:30:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [11:30:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 26/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 26/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Grimace Scale st: NotStopd t0: [12:00:00 26/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 26/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 26/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 26/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 26/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [12:00:00 26/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 26/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [13:00:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [13:00:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 26/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:00:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [13:00:00 26/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [13:00:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [13:00:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [13:00:00 26/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [13:00:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [13:00:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [13:00:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [13:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [13:00:00 26/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [13:00:00 26/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [13:00:00 26/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [13:00:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [13:00:00 26/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [13:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 26/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [13:00:00 26/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [13:00:00 26/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [13:00:00 26/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [13:00:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 26/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [13:00:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 26/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [13:00:00 26/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [13:00:00 26/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [13:00:00 26/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [13:00:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [13:00:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [13:00:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 26/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [13:00:00 26/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [13:00:00 26/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [13:00:00 26/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [13:00:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [13:00:00 26/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [13:00:00 26/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [13:00:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [13:00:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [13:00:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 26/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [13:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [13:00:00 26/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [13:00:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [13:00:00 26/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [13:00:00 26/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [13:00:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [13:00:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [13:00:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Changed st: NotStopd t0: [13:00:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [13:00:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [14:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 26/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [14:00:00 26/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.6 u1: Deg. F st: NotStopd
t0: [14:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [15:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [15:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [15:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [15:00:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [15:00:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [15:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 26/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [15:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Mushroom Cath st: NotStopd t0: [15:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [15:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 26/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [15:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [15:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd
t0: [15:00:00 26/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 26/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:20:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [16:20:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [16:20:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:20:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:20:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:20:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:20:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:20:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:20:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:20:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 35 u1: Deg. C st: NotStopd t0: [16:20:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [16:20:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:20:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:20:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [16:20:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:20:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [16:20:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:20:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [16:20:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:20:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:20:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:20:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [16:20:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [15:00:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [15:00:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [15:30:00 26/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: CT scan st: NotStopd t0: [16:30:00 26/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:30:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [16:30:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [16:30:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [16:30:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:30:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:30:00 26/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:30:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:30:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:30:00 26/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:30:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:30:00 26/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:30:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [16:30:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [16:30:00 26/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:30:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:30:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [16:30:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:30:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:30:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [16:30:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [16:30:00 26/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:30:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:30:00 26/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:30:00 26/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [16:30:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 26/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 26/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:30:00 26/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:30:00 26/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [16:30:00 26/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:30:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:30:00 26/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:30:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:30:00 26/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:30:00 26/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [16:30:00 26/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:30:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:30:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [16:30:00 26/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:30:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [16:30:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:30:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:30:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:30:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:30:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:30:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [16:30:00 26/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:30:00 26/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:30:00 26/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:30:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:30:00 26/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [16:30:00 26/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [16:30:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:30:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:30:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:30:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:30:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:30:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:30:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [16:30:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:30:00 26/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:30:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:30:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [16:30:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Mushroom Cath st: NotStopd t0: [16:30:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:30:00 26/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:30:00 26/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [16:30:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:30:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:30:00 26/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:30:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:30:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:30:00 26/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:30:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:30:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:30:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:30:00 26/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [16:30:00 26/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:30:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [16:30:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [16:30:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:30:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:30:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [16:30:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [16:30:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 7.5 vu: ml t0: [16:30:00 26/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 40 vu: ml t0: [16:30:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml t0: [16:30:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [16:30:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [16:30:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [16:30:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 26/07/2016] id: multipodus boots el: 0 cu: CSRU cg: RN v1: off
t0: [16:30:00 26/07/2016] tf: [17:30:00 26/07/2016] dt: 60 id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 25 vu: ml
t0: [17:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [17:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [17:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [17:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [17:00:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 50 vu: ml t0: [17:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [17:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:03:00 26/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.7223 u1: ml/dl st: NotStopd t0: [17:03:00 26/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [15:00:00 26/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vu: ml es: Large
t0: [17:03:00 26/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 0.88 rs: Final st: NotStopd t0: [17:03:00 26/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [17:30:00 26/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [17:30:00 26/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [17:30:00 26/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 114 vo: 0 vu: ml st: Stopped t0: [17:30:00 26/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 180 vu: ml
t0: [18:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [18:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [18:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [18:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [18:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml t0: [18:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 7.5 vu: ml t0: [18:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml t0: [18:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 7.5 vu: ml t0: [18:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [18:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79.6667 u1: mmHg st: NotStopd t0: [19:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [19:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [19:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [19:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [19:00:00 26/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 15 vu: ml t0: [19:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [19:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 26/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 26/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [20:00:00 26/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 26/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 26/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 26/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 26/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 26/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 26/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 26/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [20:00:00 26/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 26/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 26/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 26/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 26/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 26/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 26/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 26/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 26/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [20:00:00 26/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [20:00:00 26/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 26/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [20:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 171 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [20:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [20:00:00 26/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [20:00:00 26/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 26/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 26/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 26/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 26/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 26/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 26/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 26/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 26/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Mushroom Cath st: NotStopd t0: [20:00:00 26/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 26/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [20:00:00 26/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [20:00:00 26/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 26/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 26/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 26/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 26/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [20:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [20:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 155 vu: ml
t0: [20:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [20:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [20:00:00 26/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.2 u1: Deg. F st: NotStopd
t0: [20:25:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:25:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [20:25:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:25:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:25:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:25:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:25:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:25:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:25:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:25:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [20:25:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [20:25:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:25:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:25:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [20:25:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:25:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [20:25:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:25:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [20:25:00 26/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [20:25:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:25:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [20:25:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [21:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [21:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
tf: [11:00:00 28/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Acetylcysteine 20% v1: 600 u1: mg
t0: [20:00:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30.8219 u1: ml/cmH st: NotStopd t0: [22:00:00 26/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [22:00:00 26/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [22:00:00 26/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 26/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [22:00:00 26/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.7 st: NotStopd t0: [22:00:00 26/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [22:00:00 26/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 26/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [22:00:00 26/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [22:00:00 26/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [22:00:00 26/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7.9 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [22:00:00 26/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [22:00:00 26/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19.6 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [22:00:00 26/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [22:00:00 26/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [22:00:00 26/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [22:00:00 26/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [22:00:00 26/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [22:00:00 26/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [22:00:00 26/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [22:00:00 26/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 26/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [21:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 171 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [21:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [21:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [21:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [22:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 26/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 26/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [22:00:00 26/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [22:00:00 26/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 26/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [22:00:00 26/07/2016] id: ROM el: 0 cu: CSRU cg: RN v1: Active v2: All Extremities st: NotStopd t0: [22:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 26/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 26/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [22:00:00 26/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [22:00:00 26/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [22:00:00 26/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [22:00:00 26/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 26/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 26/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 26/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd
t0: [22:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [22:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [21:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 25/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [18:00:00 25/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [23:00:00 25/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [18:00:00 26/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [20:00:00 26/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [21:00:00 26/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [22:00:00 26/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 54.6 u1: kg st: NotStopd t0: [22:15:00 26/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 152 rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [22:15:00 26/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd
t0: [22:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 26/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml t0: [23:00:00 26/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 26/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 26/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 26/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 26/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 26/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 26/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [23:00:00 26/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:00:00 26/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 58.3333 u1: mmHg st: NotStopd t0: [23:00:00 26/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 26/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 26/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [23:00:00 26/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [23:00:00 26/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 26/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 26/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 26/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [23:00:00 26/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [23:00:00 26/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 26/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 26/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 26/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 26/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 26/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.9444 u1: Deg. C st: NotStopd t0: [23:00:00 26/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.3 u1: Deg. F st: NotStopd t0: [00:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 27/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [00:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [00:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [00:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 27/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [00:00:00 27/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [00:00:00 27/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 27/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 27/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [00:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [00:00:00 27/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [00:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [00:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [00:00:00 27/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 27/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [00:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 27/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [00:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [00:00:00 27/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [00:00:00 27/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [00:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 27/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 110 cv: 110 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: 3161 pv: 10 cv: 1012.5 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 210 cv: 1762.5 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: 3161 cv: 1225 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 110 cv: 282.5 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 100 cv: 1480 ap: none t0: [23:00:00 27/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN cv: 105 ap: none t0: [23:00:00 27/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 110 cv: -3409.86 ap: carryForward
t0: [02:00:00 27/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.9091 u1: ml/cmH st: NotStopd t0: [02:00:00 27/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [02:00:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [02:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [02:00:00 27/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [02:00:00 27/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [02:00:00 27/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [02:00:00 27/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [02:00:00 27/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.7 u1: Deg. C st: NotStopd t0: [02:00:00 27/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [02:00:00 27/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [02:00:00 27/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6.8 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [02:00:00 27/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [02:00:00 27/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [02:00:00 27/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [02:00:00 27/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [02:00:00 27/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [02:00:00 27/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [02:00:00 27/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [02:00:00 27/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [02:00:00 27/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [02:00:00 27/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [02:00:00 27/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [01:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [01:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [01:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [01:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [02:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 57.6667 u1: mmHg st: NotStopd t0: [02:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [02:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [01:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [02:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [02:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [01:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 27/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml
t0: [01:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [01:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [03:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [03:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [03:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [03:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [03:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [03:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [03:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [03:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [03:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:53:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 120 u1: mmHg rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [03:53:00 27/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd
t0: [05:00:00 27/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 51.0638 u1: units st: NotStopd t0: [05:00:00 27/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [05:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 27/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 27/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [05:00:00 27/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 27/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [05:00:00 27/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:00:00 27/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 27/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [05:00:00 27/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [05:00:00 27/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [05:00:00 27/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 27/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 27/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [05:00:00 27/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:00:00 27/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [05:00:00 27/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [05:00:00 27/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 27/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 51.0638 u1: units st: NotStopd t0: [05:00:00 27/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 27/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [05:00:00 27/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.47 u1: L st: NotStopd t0: [05:00:00 27/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [05:00:00 27/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [05:00:00 27/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [05:00:00 27/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [04:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [04:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [04:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 27/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 27/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [04:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [04:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [04:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [04:00:00 27/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [04:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [04:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [04:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [04:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [05:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [05:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [05:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [05:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [05:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [05:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [05:00:00 27/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 27/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [05:00:00 27/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [05:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [04:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [05:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [05:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [04:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:50:00 27/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 45.5 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28 u1: % rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 349 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 45.5 rs: Final st: NotStopd
t0: [05:00:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [03:50:00 27/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [03:50:00 27/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.5 rs: Final st: NotStopd t0: [03:50:00 27/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.3 rs: Final st: NotStopd
t0: [06:00:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 54.6 u1: kg st: NotStopd t0: [06:00:00 27/07/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 0.99244 u1: m2 st: NotStopd t0: [06:00:00 27/07/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.16447 u1: m2 st: NotStopd t0: [06:00:00 27/07/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: -2 u1: kg st: NotStopd t0: [06:00:00 27/07/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd
t0: [03:50:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 43 rs: Final st: NotStopd
t0: [05:45:00 27/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 81 rs: Manual st: NotStopd
t0: [05:00:00 27/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bed as Chair st: NotStopd t0: [05:00:00 27/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 27/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [05:00:00 27/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 27/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [06:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [06:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [06:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [06:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd
t0: [04:00:00 27/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [06:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [06:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [06:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:57:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:57:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 85 rs: Final st: NotStopd
t0: [06:00:00 27/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml
t0: [06:00:00 27/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [06:31:00 27/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 47.2 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.5 u1: % rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 354 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.1 u1: /mic l rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 47.2 rs: Final st: NotStopd
t0: [07:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [07:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [07:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [07:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [07:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [07:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [08:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [08:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [08:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 10 vu: ml t0: [08:00:00 27/07/2016] tf: [12:00:00 27/07/2016] dt: 240 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 55 vu: ml t0: [08:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [08:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 27/07/2016] id: Temperature C el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 27/07/2016] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [07:50:00 27/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [07:50:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [07:50:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 27/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [07:50:00 27/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [07:50:00 27/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [07:50:00 27/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [07:50:00 27/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.9 st: NotStopd t0: [07:50:00 27/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [07:50:00 27/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [07:50:00 27/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.5 u1: Deg. C st: NotStopd t0: [07:50:00 27/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [07:50:00 27/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [07:50:00 27/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [07:50:00 27/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 2.1 u1: cmH2O st: NotStopd t0: [07:50:00 27/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.54 u1: L/min st: NotStopd t0: [07:50:00 27/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [07:50:00 27/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [07:50:00 27/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [07:50:00 27/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [07:50:00 27/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [07:50:00 27/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [07:50:00 27/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [07:50:00 27/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Pressure Support st: NotStopd t0: [07:50:00 27/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [07:50:00 27/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v2: 1 st: NotStopd t0: [08:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 27/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:00:00 27/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 1 u1: cmH2O st: NotStopd t0: [08:00:00 27/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 27/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 27/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [08:00:00 27/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 6 st: NotStopd t0: [08:00:00 27/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 27/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 27/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 27/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [08:00:00 27/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 27/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [08:00:00 27/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Not Applicable st: NotStopd t0: [08:00:00 27/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 27/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 27/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thin st: NotStopd t0: [08:00:00 27/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 27/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [08:00:00 27/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 27/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 8 u1: # st: NotStopd t0: [08:00:00 27/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [07:30:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd t0: [08:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 27/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 27/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 27/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61.3333 u1: mmHg st: NotStopd t0: [08:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 27/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 27/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 27/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 27/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [08:00:00 27/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 50 vu: ml
t0: [23:00:00 27/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 200 cv: 750 ap: none
t0: [09:00:00 27/07/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 27/07/2016] id: ROM el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 27/07/2016] id: WarmingDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [09:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [09:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 27/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:00:00 27/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 55.6667 u1: mmHg st: NotStopd t0: [09:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [09:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 5 vu: ml t0: [09:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [08:45:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [08:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 27/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 27/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [08:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 27/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 27/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [08:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 27/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 27/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 27/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: RN v1: L Femoral st: NotStopd t0: [08:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 27/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 27/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 27/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 27/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [08:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 27/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 27/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 27/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [08:00:00 27/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [08:00:00 27/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [08:00:00 27/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 27/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [08:30:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:30:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:30:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:30:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:30:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:30:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [08:30:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:30:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:45:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:45:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:45:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:45:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:45:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:45:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: BehaviorReturned st: NotStopd t0: [08:45:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:45:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [09:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [09:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [09:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [09:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [09:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [09:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [09:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [09:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [09:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [09:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [09:09:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.0093 u1: ml/dl st: NotStopd t0: [09:09:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [09:09:00 27/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 87 u1: % rs: Final st: NotStopd
t0: [08:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:30:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 9 st: NotStopd t0: [08:30:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [08:30:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [09:15:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [09:15:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [09:15:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [06:31:00 27/07/2016] id: Differential-Bands Hematology el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.1 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.1 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [06:31:00 27/07/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 95.1 rs: Final st: NotStopd
t0: [10:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [10:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [10:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [10:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [10:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [10:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:53:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.0373 u1: ml/dl st: NotStopd t0: [09:53:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [09:53:00 27/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [10:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.8 u1: torr st: NotStopd t0: [10:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [10:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [10:00:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [10:00:00 27/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 50 vu: ml
tf: [08:00:00 28/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Haloperidol v1: 5 u1: mg
t0: [11:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 62 u1: BPM st: NotStopd t0: [11:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [11:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [11:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [11:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml
t0: [11:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:06:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:06:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [11:06:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [11:06:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [11:06:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [11:06:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [11:06:00 27/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3702 u1: ml/dl st: NotStopd t0: [11:06:00 27/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [08:45:00 27/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [11:00:00 27/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [11:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [11:06:00 27/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 0.94 rs: Final st: NotStopd
t0: [11:30:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 70 vu: ml
t0: [12:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [12:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [12:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 27/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 27/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [12:00:00 27/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [12:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 27/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 50 vu: ml t0: [12:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [12:00:00 27/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 0 vu: ml t0: [12:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [12:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Angio Appearance #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Angio Dressing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Angio Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Total PEEP Level el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 27/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [12:00:00 27/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 27/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [12:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [12:00:00 27/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 27/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 27/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.8 u1: torr st: NotStopd t0: [12:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [12:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [12:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [12:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 27/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [12:00:00 27/07/2016] id: LL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 27/07/2016] id: LU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [12:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [12:00:00 27/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [12:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 27/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 27/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 27/07/2016] id: RL Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/07/2016] id: RU Strength/Movement el: 0 cu: CSRU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 27/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 27/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [12:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [12:00:00 27/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 27/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 27/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [12:00:00 27/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [12:00:00 27/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [12:00:00 27/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 27/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [08:00:00 27/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 27/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [12:00:00 27/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [12:00:00 27/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd
t0: [13:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [13:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [13:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [13:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [13:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [13:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [13:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [13:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:43:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 151 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 74 rs: Final st: NotStopd
t0: [13:43:00 27/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5562 u1: ml/dl st: NotStopd t0: [13:43:00 27/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [13:43:00 27/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.05 rs: Final st: NotStopd t0: [13:43:00 27/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.4 rs: Final st: NotStopd t0: [13:45:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [13:45:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [13:45:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [13:45:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 70 vu: ml t0: [13:45:00 27/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [08:00:00 27/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 27/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 27/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 27/07/2016] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 27/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [14:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [14:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 27/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [14:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [14:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [14:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [14:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 27/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd
t0: [14:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [14:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [14:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [15:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [15:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [15:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [15:00:00 27/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [15:00:00 27/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [15:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [15:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [15:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [15:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [15:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [15:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [15:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [15:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [15:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 27/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [15:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [15:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [15:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [15:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [15:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [15:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [15:00:00 27/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [15:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [15:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [15:00:00 27/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 27/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [15:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [15:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [15:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [15:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 27/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [15:00:00 27/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [15:00:00 27/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [15:00:00 27/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [15:00:00 27/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [15:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [15:00:00 27/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [15:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [15:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [15:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [16:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [16:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [16:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 27/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 27/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 27/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 27/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [16:00:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [16:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [16:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [17:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [17:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [17:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [17:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [17:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 1 u1: mmHg st: NotStopd t0: [18:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [18:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [18:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [18:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [18:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [18:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 115 vo: 2.5 vu: ml t0: [18:00:00 27/07/2016] tf: [09:00:00 28/07/2016] dt: 900 id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [18:00:00 27/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [18:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [17:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [18:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 82 rs: Manual st: NotStopd
t0: [16:00:00 27/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 27/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 27/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [20:00:00 27/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 115 vo: 0 st: D/C'd
t0: [20:30:00 27/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3826 u1: ml/dl st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.33 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [20:30:00 27/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [19:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [19:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [19:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [20:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:15:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:15:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:15:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:15:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:15:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:15:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:15:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:15:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:15:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:20:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:20:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:20:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:20:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [20:20:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg u2: mmHg st: NotStopd t0: [20:20:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:20:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:20:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:20:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [20:20:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:25:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:25:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:25:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:25:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:25:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [20:25:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:25:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 179 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:25:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg st: NotStopd t0: [20:25:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:25:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:25:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:25:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:25:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:25:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:30:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:30:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:30:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:30:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:30:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:30:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:30:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:30:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:30:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:35:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:35:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:35:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:35:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:35:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:35:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:35:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:35:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:35:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:35:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:35:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:35:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [20:35:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [20:35:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:40:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:40:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:40:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:40:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:40:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:40:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:40:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:40:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:40:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:40:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:40:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:40:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:40:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:40:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:45:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:45:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [20:45:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:45:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:45:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:45:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:45:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:45:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:45:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:45:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:45:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:45:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:45:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:45:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [19:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/07/2016] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:15:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:20:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:25:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:30:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:35:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:40:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:45:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [21:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [21:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [21:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [21:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [21:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [21:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [21:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [19:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [19:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [19:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [19:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [20:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [20:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [20:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [20:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [20:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 27/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 27/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 27/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [20:00:00 27/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 27/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [21:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 27/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [21:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [21:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [21:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [21:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [21:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [21:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [21:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [21:00:00 27/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 27/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 27/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [21:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [21:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [21:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [21:00:00 27/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 27/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 27/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 27/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [21:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [21:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [21:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:30:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [21:30:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [21:30:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [21:30:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:30:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [21:30:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:30:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:30:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 2.5 vu: ml t0: [21:30:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [21:30:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [21:30:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [09:00:00 28/07/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 50 u1: mg
t0: [20:00:00 27/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [21:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [22:00:00 27/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [22:00:00 27/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [22:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [22:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [22:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [22:00:00 27/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 27/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [22:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [22:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [22:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [22:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [22:00:00 27/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [22:00:00 27/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [22:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [22:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [22:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [22:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 27/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [22:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 27/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 27/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 27/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 27/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [22:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [22:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [22:00:00 27/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [22:00:00 27/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.5556 u1: Deg. C st: NotStopd t0: [22:00:00 27/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96 u1: Deg. F st: NotStopd t0: [22:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [22:00:00 27/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 27/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [22:00:00 27/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Straw st: NotStopd t0: [22:00:00 27/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [22:00:00 27/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [22:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd
t0: [22:00:00 27/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [22:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 27/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [23:00:00 27/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 27/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [23:00:00 27/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 27/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 27/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [23:00:00 27/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [23:00:00 27/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [23:00:00 27/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [23:00:00 27/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [23:00:00 27/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [23:00:00 27/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 27/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [23:00:00 27/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [23:00:00 27/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [23:00:00 27/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [23:00:00 27/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [23:00:00 27/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [23:00:00 27/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [23:00:00 27/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:00:00 27/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [23:00:00 27/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [23:00:00 27/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [23:00:00 27/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 27/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 27/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 27/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 27/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 27/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 27/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 27/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [23:00:00 27/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 27/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [23:00:00 27/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 27/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [00:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 28/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [00:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [00:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [00:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [00:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [00:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [00:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [00:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 27/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 2.5 vu: ml t0: [23:00:00 27/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 27/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [00:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 27/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 27/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 27/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [23:00:00 27/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 27/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 27/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [23:00:00 27/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd
t0: [19:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [19:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [19:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [21:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [21:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [21:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [22:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [22:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [23:00:00 27/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [23:00:00 27/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [23:00:00 27/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [00:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [00:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd
t0: [00:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [00:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [00:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [01:00:00 26/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [20:00:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [20:15:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [20:20:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [00:00:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [00:45:00 28/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [00:45:00 28/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [00:45:00 28/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [00:45:00 28/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 25 u1: mmHg rs: Final st: NotStopd t0: [00:45:00 28/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 57 u1: mmHg rs: Final st: NotStopd t0: [00:45:00 28/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [23:00:00 27/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [23:00:00 27/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Positive st: NotStopd t0: [23:00:00 27/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Fecal Incont Bag st: NotStopd t0: [01:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 28/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [01:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [01:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [01:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [01:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [01:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [01:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [01:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 27/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN pv: 100 cv: 150 ap: none t0: [23:00:00 28/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: 3161 pv: 44 cv: 44 ap: none t0: [23:00:00 28/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: 3161 pv: -29 cv: -29 ap: none t0: [23:00:00 28/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: 3161 pv: 15 cv: 1080 ap: none t0: [23:00:00 28/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: 3161 pv: 15 cv: 1280 ap: none t0: [23:00:00 28/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: 3161 pv: 44 cv: 2189 ap: none t0: [23:00:00 28/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -29 cv: -1109 ap: none t0: [23:00:00 28/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: 3161 pv: 44 cv: 2389 ap: none t0: [23:00:00 28/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -29 cv: -4518.86 ap: carryForward
t0: [00:48:00 28/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: mg/dl rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 95 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [00:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [00:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [00:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [00:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [00:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Disoriented st: NotStopd t0: [00:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [01:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [01:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [01:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [01:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [01:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [01:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [01:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [01:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 28/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [02:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [02:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [02:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [02:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [02:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:32:00 28/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5042 u1: ml/dl st: NotStopd t0: [02:32:00 28/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [02:32:00 28/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [03:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [03:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [03:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [03:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [03:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 28/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [03:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 27/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 27/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:48:00 28/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd t0: [00:48:00 28/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [01:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [01:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [01:00:00 28/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [01:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [01:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [01:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [01:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [01:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [01:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [01:00:00 28/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [01:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [01:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [01:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [01:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [02:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [02:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [02:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [02:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [02:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [02:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [02:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [02:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [03:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [03:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [03:00:00 28/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [03:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [03:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [03:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [03:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [03:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Other/Remarks v2: Clean and Dry st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [03:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [03:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [03:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 28/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 28/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [03:00:00 28/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [03:00:00 28/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [03:00:00 28/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [03:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [03:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 28/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Very Poor st: NotStopd t0: [03:00:00 28/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [03:00:00 28/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [03:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd t0: [04:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [04:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [04:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [04:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [04:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [04:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [04:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [04:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [04:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [04:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [04:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 28/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Tenacious st: NotStopd t0: [04:00:00 28/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd
t0: [04:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 28/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 28/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [05:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 28/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg st: NotStopd t0: [05:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [05:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [05:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [05:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [05:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [05:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [05:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [05:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [05:00:00 28/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [05:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [05:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [05:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [05:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [05:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [05:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [05:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [05:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [05:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [05:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 28/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 28/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [05:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [05:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [05:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd
t0: [03:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 28/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:39:00 28/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5538 u1: ml/dl st: NotStopd t0: [05:39:00 28/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.27 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [05:39:00 28/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [05:41:00 28/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 31.2 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.5 u1: % rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 409 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.1 u1: /mic l rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 31.2 rs: Final st: NotStopd
t0: [05:41:00 28/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 36.4 rs: Final st: NotStopd
t0: [20:00:00 27/07/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 0-None st: NotStopd t0: [20:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 27/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 27/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 27/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 27/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 27/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 27/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [03:00:00 28/07/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: Backrub st: NotStopd t0: [03:00:00 28/07/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Right Anterior st: NotStopd t0: [06:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Left Nare st: NotStopd t0: [06:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [06:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [06:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [06:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [06:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [06:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [06:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [06:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: H2O Seal st: NotStopd
t0: [05:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 28/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [06:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [06:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/07/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 200 ap: none
t0: [05:41:00 28/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: mg/dl rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 u1: mEq/L rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [05:41:00 28/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [23:00:00 27/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml t0: [05:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [06:00:00 28/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 200 vu: ml
t0: [23:00:00 28/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 200 ap: none
t0: [05:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [21:00:00 27/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd
t0: [07:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [07:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [07:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [07:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [07:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [08:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 149 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [08:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [08:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [08:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 28/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 28/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 28/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:00:00 28/07/2016] pt: Unit Dose rt: PO fr: Q24H fs: 9 dn: 1 m1: Fluconazole v1: 200 u1: mg
t0: [08:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [08:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 28/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Weak Palpable st: NotStopd t0: [08:00:00 28/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [08:00:00 28/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [08:00:00 28/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 28/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 28/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [08:00:00 28/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [08:00:00 28/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [08:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [08:00:00 28/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 28/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [08:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [08:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [08:00:00 28/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [08:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 28/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Golden v2: Liquid st: NotStopd t0: [08:00:00 28/07/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [08:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 28/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 28/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Restless st: NotStopd t0: [08:00:00 28/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 28/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [08:00:00 28/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Straw st: NotStopd t0: [08:00:00 28/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [08:00:00 28/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Negative v2: Negative st: NotStopd t0: [08:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: H2O Seal st: NotStopd t0: [09:00:00 28/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [09:00:00 28/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [09:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [09:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [09:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [07:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [08:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [09:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [09:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [09:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 28/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [08:00:00 28/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [10:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 69.6667 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [10:00:00 28/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Chest Tube D/C st: NotStopd t0: [10:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 28/07/2016] id: Chest Tubes Right Pleural 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml t0: [10:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [10:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [10:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 28/07/2016] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 cv: 0 ap: none
t0: [09:35:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:35:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:35:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:35:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [09:35:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Brady st: NotStopd t0: [09:35:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 160 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:35:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:35:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [09:35:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:35:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:35:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:40:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [09:45:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:45:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:45:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:45:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:45:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [09:45:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:45:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [09:45:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 69.6667 u1: mmHg st: NotStopd t0: [09:45:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 163 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:45:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [09:45:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:45:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [09:45:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:45:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:45:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:35:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 28/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [11:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [11:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 162 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [11:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [11:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [11:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [11:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: CT #1 Crepitus el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 28/07/2016] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [10:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [10:00:00 28/07/2016] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Right Anterior st: NotStopd t0: [10:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [10:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/07/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Left Nare st: NotStopd t0: [10:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [10:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [10:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [10:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [10:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [12:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [12:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [12:00:00 28/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [12:00:00 28/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [12:00:00 28/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 28/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [12:00:00 28/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [12:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [12:00:00 28/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [12:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [12:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [12:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [12:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [12:00:00 28/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [12:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [12:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [12:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 28/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Golden v2: Liquid st: NotStopd t0: [12:00:00 28/07/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Fecal Incont Bag st: NotStopd t0: [12:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 28/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 28/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [12:00:00 28/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [12:00:00 28/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 st: NotStopd t0: [12:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 28/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [12:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [12:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:56:00 28/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 25 u1: mmHg rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [12:56:00 28/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd
t0: [13:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [13:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [13:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [13:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [13:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [13:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [13:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [13:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [09:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Face Tent st: NotStopd t0: [09:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [12:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Face Tent st: NotStopd t0: [12:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [12:00:00 28/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [12:00:00 28/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [14:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [14:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [14:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [14:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml
t0: [14:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 28/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Cardiac Echo st: NotStopd
t0: [10:00:00 28/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Confused st: NotStopd t0: [12:00:00 28/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Cooperative st: NotStopd t0: [12:56:00 28/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.4 rs: Final st: NotStopd t0: [14:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [14:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [15:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [15:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [15:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [15:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 134 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [15:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [15:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [15:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [15:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [15:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [15:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 28/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [15:00:00 28/07/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 28/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 28/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [15:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [14:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 28/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Right Nare st: NotStopd t0: [14:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 28/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [16:00:00 28/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [16:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 28/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [16:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [16:00:00 28/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [16:00:00 28/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Weak Palpable st: NotStopd t0: [16:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/07/2016] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Altered LOC st: NotStopd t0: [16:00:00 28/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [16:00:00 28/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [16:00:00 28/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 28/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [16:00:00 28/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: ICU Environment st: NotStopd t0: [16:00:00 28/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [16:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [16:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [16:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [16:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [16:00:00 28/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 28/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 28/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [16:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [16:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [16:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [16:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [16:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [16:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 28/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 28/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 28/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Cooperative st: NotStopd
t0: [16:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [16:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [16:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 28/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd
tf: [10:00:00 29/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 17 dn: 1 m1: Furosemide v1: 20 u1: mg
t0: [17:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Dozing Intermit st: NotStopd t0: [17:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 141 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [17:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [17:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [17:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: -1 ai: 274 vu: ml t0: [16:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [17:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [17:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 220 vu: ml
t0: [17:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [18:00:00 28/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [18:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [18:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 155 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [18:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [18:00:00 28/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [18:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 28/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 28/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [18:00:00 28/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [18:00:00 28/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97 u1: Deg. F st: NotStopd t0: [18:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 70 vu: ml t0: [18:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [18:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [18:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [08:00:00 02/08/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 18 dn: 1 m1: Fluconazole v1: 200 u1: mg m2: NS v2: 100 u2: ml
t0: [19:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [19:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [19:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 52.6 u1: kg st: NotStopd t0: [19:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [19:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [19:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml
t0: [19:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 28/07/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [20:00:00 28/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 28/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 28/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 28/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 28/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 28/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 28/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 28/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [20:00:00 28/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 28/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 28/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [20:00:00 28/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [20:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 28/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 28/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 28/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 28/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 28/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 28/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 28/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 28/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 28/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [20:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 28/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 28/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [20:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:00:00 28/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 28/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [20:00:00 28/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 28/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 28/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 28/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [20:00:00 28/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 28/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 28/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 28/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [20:00:00 28/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd t0: [20:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 28/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 28/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 28/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 28/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd
t0: [20:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [20:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:15:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:15:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:15:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:15:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:15:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [20:15:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:15:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:15:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [20:15:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [20:15:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:15:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:15:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:20:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd
t0: [20:15:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 170 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [21:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [21:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [21:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [21:00:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [21:00:00 28/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [21:00:00 28/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [21:30:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [21:30:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [21:30:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:30:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [21:30:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [21:30:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [21:30:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 28/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 28/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 28/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 28/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Rectal Tube st: NotStopd t0: [20:00:00 28/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [22:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [22:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [22:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [22:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [22:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 29/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Diphenhydramine HCl v1: 25 u1: mg tf: [10:00:00 29/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 22 dn: 1 m1: Hydralazine HCl v1: 10 u1: mg
t0: [22:03:00 28/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.4039 u1: ml/dl st: NotStopd t0: [22:03:00 28/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [22:03:00 28/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg rs: Final st: NotStopd t0: [22:03:00 28/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [22:00:00 28/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [22:00:00 28/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [22:00:00 28/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Nasotracheal Sxn v2: Copious st: NotStopd
t0: [22:30:00 28/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [22:30:00 28/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [22:30:00 28/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:30:00 28/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:30:00 28/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [22:30:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd
id: Neosynephrine-k el: 400 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ra: 6.5 ru: ml/hr
id: D5W el: 4 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [22:00:00 28/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [22:40:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:40:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:40:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:40:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:40:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:40:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:40:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:40:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:40:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [22:40:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:40:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:40:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [22:40:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:40:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:45:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:45:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:45:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:45:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:45:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:45:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:45:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:45:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [22:45:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:45:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:45:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:45:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:45:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:50:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:50:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:50:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:50:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [22:50:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [22:50:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:50:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:50:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:55:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:55:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:55:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:55:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:55:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:55:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Trendelenberg st: NotStopd t0: [22:55:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:55:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:55:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [22:55:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 44.3333 u1: mmHg st: NotStopd t0: [22:55:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [22:55:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [22:55:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:55:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [22:55:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:55:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:55:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:00:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg v2: 10 u2: mmHg st: NotStopd t0: [23:00:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [23:00:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [23:00:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [23:00:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:05:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:05:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:05:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:05:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [23:05:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:05:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [23:05:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [23:05:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [23:05:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 48 u1: mmHg st: NotStopd t0: [23:05:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:05:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [23:05:00 28/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:05:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:05:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:10:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:10:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:10:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:10:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:10:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:10:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:10:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:10:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [23:10:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [23:10:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:10:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [23:10:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:10:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [23:10:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:10:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 28/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:15:00 28/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 28/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:15:00 28/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:15:00 28/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:15:00 28/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [23:15:00 28/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:15:00 28/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:15:00 28/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [23:15:00 28/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:15:00 28/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:15:00 28/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:15:00 28/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [23:15:00 28/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:15:00 28/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:20:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd
t0: [23:00:00 28/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 28/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 28/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml nb: 1 t0: [23:00:00 28/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 44 vu: ml
t0: [22:40:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:45:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:50:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:55:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 28/07/2016] tf: [15:27:00 17/08/2016] dt: 28347 id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:05:00 28/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:10:00 28/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:10:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:15:00 28/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:15:00 28/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 29/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [00:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [00:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [00:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [00:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [00:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [00:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [00:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [00:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 29/07/2016] tf: [01:00:00 29/07/2016] dt: 60 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 2.16667 vu: ml t0: [00:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [00:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 29/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 594.607 cv: 594.607 ap: none t0: [23:00:00 29/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 534.607 cv: 2608.02 ap: none t0: [23:00:00 29/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 594.607 cv: 3043.02 ap: none t0: [23:00:00 29/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1489 ap: none t0: [23:00:00 29/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 594.607 cv: 1554.02 ap: none t0: [23:00:00 29/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1489 ap: none t0: [23:00:00 29/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 594.607 cv: -2964.83 ap: carryForward
tf: [10:00:00 29/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 1 dn: 1 m1: Diphenhydramine HCl v1: 50 u1: mg
t0: [23:00:00 28/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 28/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 28/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 28/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 28/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 28/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 28/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [00:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [00:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [00:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [00:00:00 29/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [00:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [00:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [00:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 29/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [00:00:00 29/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Rectal Tube st: NotStopd t0: [00:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [01:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [01:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [01:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [01:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [21:30:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [22:00:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [22:45:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [22:55:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [23:00:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [23:05:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [23:10:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [23:15:00 28/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [01:27:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [01:27:00 29/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.6862 u1: ml/dl st: NotStopd t0: [01:27:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [01:27:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [01:27:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [01:27:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [01:27:00 29/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 29/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [02:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [02:00:00 29/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [02:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [02:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [02:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [02:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [02:00:00 29/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [02:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [02:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [02:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [02:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [02:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [02:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [02:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [02:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 29/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [02:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 29/07/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [02:00:00 29/07/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Mushroom Cath st: NotStopd t0: [02:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [02:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [02:00:00 29/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [02:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [02:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [02:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:27:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg rs: Final st: NotStopd t0: [03:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [03:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [03:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [03:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [03:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [03:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [03:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [03:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [03:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [03:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [03:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [03:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 28 vu: ml
t0: [03:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 27/07/2016] id: Previous Weight el: 0 cu: CSRU cg: 3161 v1: 52.6 u1: kg st: NotStopd t0: [03:30:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 27.5 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.8 u1: % rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 464 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.94 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 27.5 rs: Final st: NotStopd
t0: [03:30:00 29/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 34.7 rs: Final st: NotStopd
t0: [03:30:00 29/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:30:00 29/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [02:00:00 29/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN st: NotStopd t0: [04:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [04:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [04:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [04:00:00 29/07/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [04:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [04:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [04:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [04:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [04:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [04:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [04:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [04:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [04:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 185 vu: ml
t0: [04:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [04:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [05:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [05:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [05:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [05:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [05:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [05:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 150 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [05:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [05:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [05:00:00 29/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [05:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml
t0: [05:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [05:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:15:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:15:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [05:15:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:15:00 29/07/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.6 u1: kg st: NotStopd t0: [05:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [05:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:15:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [05:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 6 dn: 1 m1: Hydralazine HCl v1: 10 u1: mg
t0: [03:00:00 29/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [03:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 29/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [06:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [06:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [06:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.6 u1: torr st: NotStopd t0: [07:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [07:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [07:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [07:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [07:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [07:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [07:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: RN ai: 222 vo: 0 vu: ml t0: [07:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [06:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 29/07/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 4 cu: CSRU cg: -1 ai: 222 vo: 0 st: D/C'd
tf: [10:00:00 29/07/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 9, 21 dn: 2 m1: Acetazolamide Sodium v1: 500 u1: mg m2: D5W v2: 25 u2: ml
t0: [08:00:00 29/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [08:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [08:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [08:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 14 u1: points st: NotStopd t0: [08:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [08:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [08:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [08:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [08:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [08:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Pain st: NotStopd t0: [08:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 29/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [08:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [08:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 4 Confused st: NotStopd t0: [08:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [09:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [09:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [09:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [09:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [09:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [09:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [09:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [09:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [09:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 10 vu: ml t0: [09:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [09:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [08:00:00 29/07/2016] id: Neosynephrine-k el: 4 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [09:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [09:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [09:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [09:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:30:00 29/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [09:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [08:00:00 29/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 29/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [08:00:00 29/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 29/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 29/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [08:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [08:00:00 29/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [08:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Serous v2: Scant st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/07/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [09:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [09:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [09:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/07/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [10:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd
tf: [09:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
t0: [10:10:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 20 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [10:10:00 29/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd
t0: [10:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [10:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [10:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [10:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [10:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [10:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [10:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [10:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:30:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [10:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 33 u2: mmHg st: NotStopd t0: [10:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [10:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [10:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [10:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [10:00:00 29/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [10:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [10:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:57:00 29/07/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
id: Packed RBC's el: 2 cu: CSRU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [09:53:00 29/07/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 37 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 114 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: LDH Enzymes el: 0 cu: CSRU cg: 3161 v1: 415 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [09:53:00 29/07/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd
t0: [11:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [11:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [11:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [11:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [11:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:15:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:15:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [11:15:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [11:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [11:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:15:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [11:15:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [11:15:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd t0: [11:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 29/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Diff to Palpate v2: Doppler st: NotStopd t0: [08:00:00 29/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Cooperative st: NotStopd t0: [10:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [10:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Restraint DC'd st: NotStopd t0: [10:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:10:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.5 rs: Final st: NotStopd t0: [12:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [12:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 29/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [12:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [12:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Sig Othr/Family st: NotStopd t0: [12:00:00 29/07/2016] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [12:00:00 29/07/2016] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/07/2016] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [12:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [12:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [12:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [12:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [12:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [12:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [12:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [12:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [12:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [12:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [12:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [12:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [12:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [12:00:00 29/07/2016] tf: [08:00:00 31/07/2016] dt: 2640 id: Packed RBC's IV Infusions el: 2 cu: CSRU cg: -1 ai: 128 vo: 375 vu: ml t0: [12:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [12:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 375 ap: none
t0: [11:30:00 29/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd
t0: [12:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd
t0: [12:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:30:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [12:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [12:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [12:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
t0: [13:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [13:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [13:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [13:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7778 u1: Deg. C st: NotStopd t0: [13:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.2 u1: Deg. F st: NotStopd t0: [13:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [13:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [13:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [14:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [14:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 29/07/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd t0: [14:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [14:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [14:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 29/07/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [12:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [12:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [13:30:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [13:30:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [13:30:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [14:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 159 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [14:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [14:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:38:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [14:38:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd
t0: [14:38:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [14:38:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [14:38:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 17 u1: mmHg rs: Final st: NotStopd t0: [14:38:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd
t0: [14:37:00 29/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.2 u1: % rs: Final st: NotStopd
t0: [14:37:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.6 rs: Final st: NotStopd t0: [14:37:00 29/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [14:37:00 29/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 485 rs: Final st: NotStopd t0: [14:37:00 29/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [14:37:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 25.6 rs: Final st: NotStopd
t0: [10:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RRT v1: Nasal Cannula st: NotStopd t0: [10:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RRT v1: 4 u1: lpm st: NotStopd t0: [14:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RRT v1: Nasal Cannula st: NotStopd t0: [14:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RRT v1: 4 u1: lpm st: NotStopd t0: [14:38:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RRT v1: 7.51 rs: Final st: NotStopd t0: [14:38:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RRT v1: 7.51 rs: Final st: NotStopd
t0: [15:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd t0: [15:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Face Tent st: NotStopd t0: [15:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RRT v1: Nasal Cannula st: NotStopd t0: [15:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd t0: [15:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RRT v1: 4 u1: lpm st: NotStopd t0: [15:00:00 29/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [15:00:00 29/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Nasotracheal Sxn v2: Small st: NotStopd
t0: [15:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [15:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 173 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [15:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [15:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [15:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:15:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:15:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [15:15:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 163 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [15:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [15:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [16:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 161 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [16:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [16:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [15:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [16:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [16:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [15:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:29:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 20 u1: mmHg rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [16:29:00 29/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [10:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [14:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [14:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [14:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 2 st: NotStopd t0: [14:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [15:00:00 29/07/2016] id: Chest PT R/L el: 0 cu: CSRU cg: -1 v1: Done v2: Done st: NotStopd t0: [15:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 29/07/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [15:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [15:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [15:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [15:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [15:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 29/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [15:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [15:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [15:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [15:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [16:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [16:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 8 st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 3 st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 6 v2: 29 st: NotStopd t0: [16:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Body, Upper st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Femoral, Left st: NotStopd t0: [16:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/07/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 1 st: NotStopd t0: [16:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [16:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd
id: Nitroglycerine-k el: 200 cu: CSRU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Propofol el: 200 cu: CSRU cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
t0: [17:00:00 29/07/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 29/07/2016] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 29/07/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 29/07/2016] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [16:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 17 dn: 1 m1: Lorazepam v1: 0.5 u1: mg
id: D5W el: 2 cu: CSRU cg: -1 io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 2 cu: CSRU cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [17:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [17:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 157 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [17:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:00:00 29/07/2016] id: Significant Events el: 0 cu: CSRU cg: -1 v1: Intubated st: NotStopd t0: [17:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:10:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:10:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:10:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:10:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:10:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [17:10:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:10:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 209 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [17:10:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg st: NotStopd t0: [17:10:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:10:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [17:10:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:10:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:15:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [17:15:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 176 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [17:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [17:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [17:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:20:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:20:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:20:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:20:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:20:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [17:20:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:20:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 165 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:20:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [17:20:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:20:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:20:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:20:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:25:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:25:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:25:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:25:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:25:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [17:25:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:25:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 164 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [17:25:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [17:25:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:25:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:25:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:25:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [17:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:10:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:15:00 29/07/2016] tf: [15:27:00 17/08/2016] dt: 27252 id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:20:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:25:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:25:00 29/07/2016] tf: [15:27:00 17/08/2016] dt: 27242 id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:25:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [17:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [17:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [17:35:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:35:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:35:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:35:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:35:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [17:35:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:35:00 29/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:35:00 29/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [17:35:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [17:35:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg st: NotStopd t0: [17:35:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:35:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:35:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:35:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:30:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:30:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:35:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:35:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:35:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:40:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:40:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:40:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:40:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:40:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [17:40:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:40:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:40:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [17:40:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:40:00 29/07/2016] id: Procedures el: 0 cu: CSRU cg: -1 v1: Bronchoscopy st: NotStopd t0: [17:40:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:40:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:40:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:40:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:40:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:40:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:45:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:45:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:45:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:45:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [17:45:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:45:00 29/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [17:45:00 29/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 56.6667 u1: mmHg st: NotStopd t0: [17:45:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:45:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [17:45:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:45:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [17:45:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:45:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:45:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:45:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:45:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:30:00 29/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [17:30:00 29/07/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [17:30:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [17:30:00 29/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [17:30:00 29/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:30:00 29/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:30:00 29/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:30:00 29/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [17:30:00 29/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [17:30:00 29/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 17.5 u1: L/min st: NotStopd t0: [17:30:00 29/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [17:30:00 29/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [17:30:00 29/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [17:30:00 29/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:30:00 29/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [17:30:00 29/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 29/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [17:30:00 29/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:30:00 29/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 620 u1: ml/B st: NotStopd t0: [17:30:00 29/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV st: NotStopd t0: [17:30:00 29/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [17:30:00 29/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
tf: [17:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 18 dn: 1 m1: Propofol (Generic) v1: 40 u1: mg tf: [08:00:00 05/08/2016] pt: Unit Dose rt: IV DRIP fr: INFUSION m1: Propofol (Generic) v1: 1000 u1: mg
id: .45% Normal Saline el: 1 cu: CSRU cg: -1 io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [17:45:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [18:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 29/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 64.6667 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [18:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg st: NotStopd t0: [18:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [18:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [18:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 29/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [17:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 5 vu: ml t0: [18:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml
t0: [18:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 29/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [16:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [17:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [17:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [17:00:00 29/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 29/07/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Fam Talked to RN st: NotStopd t0: [17:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: Flat in Bed st: NotStopd t0: [17:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [17:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [17:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [17:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [17:00:00 29/07/2016] id: Spiritual Support el: 0 cu: CSRU cg: -1 st: NotStopd t0: [17:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Very Sedated st: NotStopd t0: [18:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Hemodyn Issue st: NotStopd t0: [18:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [18:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [18:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 6 st: NotStopd t0: [18:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [18:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [18:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Tachypneic st: NotStopd t0: [18:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [18:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [18:05:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:05:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:05:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:05:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:05:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [18:05:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:05:00 29/07/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:05:00 29/07/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [18:05:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:05:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [18:05:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:05:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [18:05:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:05:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:15:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 4 u1: mmHg st: NotStopd t0: [18:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:15:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:15:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [18:15:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [18:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [18:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [18:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [18:05:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:05:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:05:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:15:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:15:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 29/07/2016] tf: [00:00:00 30/07/2016] dt: 360 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 126 vo: 8 vu: ml t0: [18:15:00 29/07/2016] tf: [08:00:00 31/07/2016] dt: 2265 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 500 vu: ml
t0: [18:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [18:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [18:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:30:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:30:00 29/07/2016] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:43:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 17 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 109 u1: mmHg rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 127 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.09 rs: Final st: NotStopd t0: [18:43:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [14:38:00 29/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.1 rs: Final st: NotStopd
t0: [19:00:00 29/07/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [19:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [19:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [19:00:00 29/07/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [19:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [19:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [19:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [19:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [19:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [19:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [20:00:00 29/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/O2 Issues st: NotStopd t0: [20:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 29/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [20:00:00 29/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 29/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 29/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [20:00:00 29/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 29/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 29/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 29/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 29/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 29/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 29/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 29/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 29/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 29/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 29/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 29/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 29/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 29/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 29/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 29/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 29/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [20:00:00 29/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 126 vo: 33.93 vu: ml t0: [20:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [19:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 29/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [20:00:00 29/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 29/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 29/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [20:00:00 29/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 29/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 29/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 29/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 29/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 500 vu: ml
tf: [19:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Etomidate v1: 12 u1: mg tf: [19:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Morphine Sulfate v1: 4 u1: mg tf: [19:00:00 30/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Succinylcholine v1: 100 u1: mg tf: [06:00:00 05/08/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml tf: [08:00:00 05/08/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml
t0: [20:00:00 29/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 29/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 29/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 29/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [20:00:00 29/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [20:00:00 29/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 29/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 29/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [20:00:00 29/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 29/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 29/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.4 u1: L/min st: NotStopd t0: [20:00:00 29/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 29/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 29/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 29/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 29/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 29/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 29/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 29/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 470 u1: ml/B st: NotStopd t0: [20:00:00 29/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 29/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 29/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [21:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 29/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 126 vo: 17.16 vu: ml t0: [21:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 41 vu: ml
t0: [21:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
id: Fentanyl el: 200 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip id: Midazolam el: 200 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
t0: [21:56:00 29/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ra: 4 ru: ml/hr
id: .9% Normal Saline el: 2 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 2 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [21:56:00 29/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd
t0: [21:45:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 19.2 rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.2 u1: % rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 u1: gm/dl rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 381 rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.15 u1: /mic l rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 19.2 rs: Final st: NotStopd t0: [21:56:00 29/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5061 u1: ml/dl st: NotStopd t0: [22:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [22:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 29/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 126 vo: 17.16 vu: ml t0: [22:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [22:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 29/07/2016] tf: [10:00:00 06/08/2016] dt: 10800 id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd
t0: [21:45:00 29/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [21:45:00 29/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 37.8 rs: Final st: NotStopd
t0: [22:30:00 29/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml nb: 1
t0: [22:30:00 29/07/2016] tf: [10:00:00 06/08/2016] dt: 10770 id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 29/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
io: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
t0: [23:00:00 29/07/2016] id: Impact w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 114 vo: 0 st: D/C'd
id: Promote w/fiber el: 1 cu: CSRU cg: RN io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [22:15:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:15:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:15:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [22:15:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:15:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:15:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:15:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:30:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:30:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:30:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:30:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:30:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [22:30:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:30:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:30:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:30:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [22:30:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:30:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:40:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:40:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:40:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:40:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:40:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:40:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:40:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:40:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:40:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:40:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:40:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:40:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:40:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:40:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:45:00 29/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [22:45:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:45:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:45:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:45:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:45:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:45:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:45:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:45:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:45:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:45:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:45:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:45:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:00:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [23:00:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:15:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:15:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:30:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:30:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:30:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 55 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:40:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:40:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:40:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:40:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:40:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:45:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:45:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:45:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:45:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:45:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2016] tf: [11:00:00 06/08/2016] dt: 10800 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml nb: 1 st: NotStopd t0: [23:00:00 29/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 29/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 126 vo: 11.44 vu: ml t0: [23:00:00 29/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 29/07/2016] tf: [11:00:00 06/08/2016] dt: 10800 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 4.16667 vu: ml t0: [23:00:00 29/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [23:00:00 29/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 500 vu: ml t0: [23:30:00 29/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [23:05:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:05:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:05:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:05:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:05:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:05:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:05:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:05:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [23:05:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:05:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:05:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:05:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:05:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:05:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:05:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:05:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:05:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:10:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:35:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:35:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:35:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:35:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:35:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:35:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [23:35:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:35:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:35:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:35:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:35:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:35:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:35:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:40:00 29/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:40:00 29/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:40:00 29/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:40:00 29/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:40:00 29/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:40:00 29/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [23:40:00 29/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:40:00 29/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:40:00 29/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [23:40:00 29/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:40:00 29/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:40:00 29/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:40:00 29/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [23:30:00 29/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml nb: 1
t0: [23:35:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:35:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:35:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:35:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:35:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:40:00 29/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:40:00 29/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:40:00 29/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:40:00 29/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:40:00 29/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 29/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none
t0: [23:00:00 29/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 29/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [23:00:00 29/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 29/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 29/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 29/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 29/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [23:00:00 29/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 29/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 29/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [23:00:00 29/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [00:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [00:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 30/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [00:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [00:00:00 30/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 30/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 30/07/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 30/07/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 30/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [00:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 30/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 126 vo: 0 vu: ml t0: [00:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 15 vu: ml t0: [00:00:00 30/07/2016] tf: [00:00:00 02/08/2016] dt: 4320 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 5 vu: ml t0: [00:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [00:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 30/07/2016] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 19 vu: ml
t0: [00:01:00 30/07/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 126 vo: 0 st: D/C'd
t0: [00:11:00 30/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.2434 u1: ml/dl st: NotStopd t0: [00:11:00 30/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [00:11:00 30/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [00:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd
t0: [00:00:00 30/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [00:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [00:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 30/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [00:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v2: Clean and Dry st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [00:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [00:30:00 30/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 189 vo: 250 vu: ml
t0: [00:45:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 71.4286 u1: ml/cmH st: NotStopd t0: [00:45:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:45:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:45:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [00:45:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:45:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:45:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:45:00 30/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [00:45:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:45:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:45:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.6 u1: L/min st: NotStopd t0: [00:45:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:45:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:45:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:45:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [00:45:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:45:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:45:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:45:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:45:00 30/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:45:00 30/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [00:45:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [00:45:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:45:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:45:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:45:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 30/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [01:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 15 vu: ml t0: [01:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [01:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 31 vu: ml t0: [01:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [01:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 30/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 1737 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 30 cv: 2012 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 245 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 832 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 30 cv: 1180 ap: none t0: [23:00:00 30/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 832 ap: none t0: [23:00:00 30/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 30 cv: -1784.83 ap: carryForward
t0: [01:15:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:15:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:15:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:15:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:15:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:15:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:15:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:15:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:15:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:15:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:15:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:15:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:15:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:15:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:15:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:15:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:30:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:30:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:30:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:30:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [01:30:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [01:30:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [01:30:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:30:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:30:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:30:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:30:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:30:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:30:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:30:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:30:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:30:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
tf: [01:00:00 31/07/2016] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Fentanyl Citrate v1: 100 u1: mcg
t0: [02:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [02:00:00 30/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [02:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5.625 vu: ml t0: [02:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [02:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 3 vu: ml t0: [02:30:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [02:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:35:00 30/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.4162 u1: ml/dl st: NotStopd t0: [02:35:00 30/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:35:00 30/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:30:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:30:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:30:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:30:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:30:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [02:30:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:30:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:30:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:30:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:30:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:30:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:30:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:30:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:30:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:30:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:30:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:45:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 4.375 vu: ml t0: [03:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [03:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 16 vu: ml t0: [03:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [03:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [02:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [02:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [03:54:00 30/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:15:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [04:15:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:15:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:15:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [04:15:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:15:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:15:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:15:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:15:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:15:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [04:15:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:15:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:15:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:15:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:15:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [04:15:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:15:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:15:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:15:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 525 u1: ml/B st: NotStopd t0: [04:15:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:15:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:15:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:15:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 30/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [04:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [04:00:00 30/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 30/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 30/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [04:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [04:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [04:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 30/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [04:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [04:00:00 30/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [04:00:00 30/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [04:30:00 30/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [04:30:00 30/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 30/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 30/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [05:00:00 30/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 30/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [04:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [04:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [04:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [04:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [03:45:00 30/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.2 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Albumin (>3.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.6 u1: % rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 364 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.94 u1: /mic l rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.2 rs: Final st: NotStopd t0: [03:54:00 30/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.1598 u1: ml/dl st: NotStopd
t0: [03:45:00 30/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.4 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.4 rs: Final st: NotStopd t0: [03:45:00 30/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 35.3 rs: Final st: NotStopd
t0: [04:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [05:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [05:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [05:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [05:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [06:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [06:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [06:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [06:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [06:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [06:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 30/07/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [06:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [06:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 30/07/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [03:00:00 30/07/2016] tf: [08:00:00 31/07/2016] dt: 1740 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [04:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [05:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [05:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [05:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [05:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml t0: [06:00:00 30/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [06:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [06:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [05:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [06:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd
t0: [06:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 42 vu: ml
t0: [06:00:00 30/07/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: Other/Remarks st: NotStopd
t0: [06:00:00 30/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Bloody v2: Thin st: NotStopd t0: [06:00:00 30/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [07:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [07:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [07:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [07:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 44 vu: ml t0: [07:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [07:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 6 st: NotStopd t0: [08:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 30/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 30/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [08:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [08:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 30/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 30/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [08:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [08:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [08:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [08:40:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 55.5556 u1: ml/cmH st: NotStopd t0: [08:40:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:40:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:40:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [08:40:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:40:00 30/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.4 st: NotStopd t0: [08:40:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:40:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:40:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:40:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [08:40:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:40:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:40:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:40:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [08:40:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:40:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:40:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:40:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:40:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:40:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:40:00 30/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:40:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:40:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [08:40:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:40:00 30/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [08:40:00 30/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [09:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [09:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [09:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [09:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [09:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [09:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [09:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [09:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [10:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [10:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [10:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [10:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [10:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [10:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 30/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [11:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [11:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [11:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [11:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [11:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [11:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [11:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [11:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [11:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [11:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [11:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [11:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [11:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [11:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [11:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [11:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 30/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [11:00:00 30/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:00:00 30/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [11:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [11:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [11:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [11:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [11:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [11:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [11:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [11:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [11:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [08:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [08:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [11:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [11:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [11:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [11:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [11:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [11:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:20:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [11:20:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:20:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:20:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [11:20:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:20:00 30/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.4 st: NotStopd t0: [11:20:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:20:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:20:00 30/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:20:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:20:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [11:20:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9 u1: L/min st: NotStopd t0: [11:20:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:20:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:20:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:20:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [11:20:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [11:20:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:20:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:20:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:20:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [11:20:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:20:00 30/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [11:20:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [11:20:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [11:20:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [12:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [12:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [12:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [12:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [12:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 30/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 30/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [12:00:00 30/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 96 rs: Manual st: NotStopd
t0: [12:36:00 30/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.1505 u1: ml/dl st: NotStopd t0: [12:36:00 30/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:36:00 30/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [13:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [14:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [14:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 20 vu: ml t0: [14:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [14:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8 vu: ml
t0: [13:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [13:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [13:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [13:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [13:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [13:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [13:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [13:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [13:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [13:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [13:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [13:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [13:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [13:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [13:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [13:00:00 30/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [13:00:00 30/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [13:00:00 30/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [13:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [13:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [13:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [13:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [13:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [13:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [13:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [13:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [13:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [13:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [13:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [14:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [13:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [14:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 15 vu: ml
t0: [14:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [14:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg st: NotStopd t0: [14:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [15:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [15:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [15:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [15:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [15:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [15:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [15:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [15:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [15:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [15:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [15:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [15:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [15:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 30/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [15:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [15:00:00 30/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [15:00:00 30/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [15:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [15:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [15:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [15:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [15:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [15:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [15:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [15:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [15:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [15:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [15:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [15:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [15:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [15:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [14:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 30/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 500 vu: ml
t0: [15:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [16:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [16:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [16:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [15:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:50:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 71.4286 u1: ml/cmH st: NotStopd t0: [15:50:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:50:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:50:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [15:50:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:50:00 30/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.4 st: NotStopd t0: [15:50:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:50:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:50:00 30/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [15:50:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [15:50:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:50:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [15:50:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [15:50:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:50:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:50:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [15:50:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [15:50:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:50:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:50:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:50:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [15:50:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:50:00 30/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:50:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [15:50:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [15:50:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 30/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [16:00:00 30/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 30/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 30/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [17:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 30/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [17:00:00 30/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [17:00:00 30/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [17:00:00 30/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 30/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [17:00:00 30/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [17:00:00 30/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [17:00:00 30/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [17:00:00 30/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [17:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [17:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [17:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [17:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [17:00:00 30/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 30/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 30/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 30/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [17:00:00 30/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [17:00:00 30/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [17:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [17:00:00 30/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [17:00:00 30/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [17:00:00 30/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 30/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [17:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 30/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [17:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [17:00:00 30/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [17:00:00 30/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [17:00:00 30/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [17:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [17:00:00 30/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [17:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [17:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [17:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [17:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [17:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [17:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [17:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [18:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [18:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [18:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [18:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [18:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [18:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [17:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 30/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 30/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 30/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 30/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 30/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 30/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [18:00:00 30/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: CoWker v1: 96 rs: Manual st: NotStopd
t0: [19:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [19:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [19:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [19:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [19:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [19:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [19:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 30/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 30/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 30/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 30/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [20:00:00 30/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 30/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 30/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 30/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 30/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 30/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 30/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [20:00:00 30/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 30/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [20:00:00 30/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 30/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 30/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 30/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged st: NotStopd t0: [20:00:00 30/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [20:00:00 30/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 509 u1: ml/B st: NotStopd t0: [20:00:00 30/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 30/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 442 u1: ml/B st: NotStopd t0: [20:00:00 30/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 30/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 30/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [20:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [21:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [21:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [20:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [20:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [20:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml t0: [21:00:00 30/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 30/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 30/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [21:00:00 30/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [21:00:00 30/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [21:00:00 30/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [20:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 30/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [21:00:00 30/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [21:00:00 30/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [22:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [22:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [00:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [00:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [00:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [00:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 30 vu: ml t0: [00:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 60 vu: ml t0: [00:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [00:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 12 vu: ml
t0: [22:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 31/07/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 180 cv: 180 ap: none t0: [23:00:00 31/07/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -180 cv: -180 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 962.5 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1942.5 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 900 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 180 cv: 1940 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -180 cv: 2.5 ap: none t0: [23:00:00 31/07/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 180 cv: 1940 ap: none t0: [23:00:00 31/07/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -180 cv: -1782.33 ap: carryForward
t0: [00:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [00:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [00:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [23:00:00 30/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 30/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 30/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 30/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 30/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 30/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:00:00 30/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 30/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 30/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 30/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 30/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 30/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 30/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 30/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [01:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [01:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [00:00:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [00:00:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [00:00:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 31/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [00:00:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 31/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged st: NotStopd t0: [00:00:00 31/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 419 u1: ml/B st: NotStopd t0: [00:00:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 371 u1: ml/B st: NotStopd t0: [00:00:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [02:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 20 vu: ml t0: [02:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [02:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [02:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8 vu: ml
t0: [02:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:21:00 31/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 93 u1: mmHg rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [03:15:00 31/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 240 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.17 u1: /mic l rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 14.3 rs: Final st: NotStopd t0: [03:21:00 31/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.4163 u1: ml/dl st: NotStopd
t0: [03:15:00 31/07/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.3 rs: Final st: NotStopd
t0: [03:15:00 31/07/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd t0: [03:15:00 31/07/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [03:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [03:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [03:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [04:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 87 u2: mmHg st: NotStopd t0: [04:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [04:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [04:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 20 vu: ml t0: [04:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 80 vu: ml t0: [04:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml t0: [04:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8 vu: ml
t0: [03:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [05:00:00 31/07/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 48.2574 u1: units st: NotStopd t0: [05:00:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [05:00:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [05:00:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [05:00:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [05:00:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [05:00:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 31/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [05:00:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [05:00:00 31/07/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 48.2574 u1: units st: NotStopd t0: [05:00:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:00:00 31/07/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.373 u1: L st: NotStopd t0: [05:00:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 603 u1: ml/B st: NotStopd t0: [05:00:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 484 u1: ml/B st: NotStopd t0: [05:00:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [05:00:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [05:00:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:00:00 31/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [03:00:00 31/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [05:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [05:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [05:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [05:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [06:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 15 vu: ml t0: [07:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 30 vu: ml t0: [07:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 30 vu: ml t0: [07:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 120 vu: ml t0: [07:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [07:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 12 vu: ml
t0: [05:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/07/2016] id: Nitroglycerine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 30/07/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 30 vu: ml
t0: [23:00:00 30/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN pv: 30 cv: 30 ap: none
t0: [20:00:00 30/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 30/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 30/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 30/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 30/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 30/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 30/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 30/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 30/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 30/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 30/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 30/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 30/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 30/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 30/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 30/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 30/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 30/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 30/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 30/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 30/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 30/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 30/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 30/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 30/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 30/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 30/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [00:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [00:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 31/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [02:00:00 31/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 31/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [05:00:00 31/07/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [05:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [05:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [05:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [05:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 31/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [07:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [07:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [07:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [04:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 31/07/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [04:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 31/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [05:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 31/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [04:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [08:00:00 31/07/2016] id: Packed RBC's IV Infusions el: 2 cu: CSRU cg: -1 ai: 128 vo: 0 st: D/C'd t0: [08:00:00 31/07/2016] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [08:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [08:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [08:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [08:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [08:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [08:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [08:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [08:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 31/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 31/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 31/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [07:00:00 31/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [08:00:00 31/07/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 80 vu: ml
t0: [23:00:00 31/07/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 80 ap: none
t0: [08:30:00 31/07/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [09:00:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [09:00:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [09:00:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [09:00:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [09:00:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [09:00:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [09:00:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [09:00:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 3 u1: Deg. C st: NotStopd t0: [09:00:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [09:00:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [09:00:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 6 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [09:00:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [09:00:00 31/07/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [09:00:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [09:00:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [09:00:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [09:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [09:00:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [09:00:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [09:00:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [09:00:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [09:00:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [09:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [09:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [09:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [09:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [10:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 31/07/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [10:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [10:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [10:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [10:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 31/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [08:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [08:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 31/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 31/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 31/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 31/07/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 31/07/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 31/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd
t0: [11:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [11:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [11:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [10:50:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [10:50:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [10:50:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:50:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [10:50:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [10:50:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [10:50:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:50:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:50:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [10:50:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [10:50:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [10:50:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [10:50:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [10:50:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [10:50:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [10:50:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [10:50:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:50:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [10:50:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [10:50:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [10:50:00 31/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [10:50:00 31/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [10:50:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:50:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:50:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [10:50:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [10:50:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [10:50:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [08:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 31/07/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 31/07/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 31/07/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 31/07/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [11:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [11:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [11:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg st: NotStopd t0: [11:00:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [11:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [11:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 31/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [11:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [11:38:00 31/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd
t0: [12:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [12:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [12:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [12:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [12:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [12:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [12:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [12:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [08:00:00 31/07/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 31/07/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [08:00:00 31/07/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 31/07/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [11:38:00 31/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.05 rs: Final st: NotStopd t0: [11:38:00 31/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [12:00:00 31/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [12:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [12:00:00 31/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 31/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 31/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [12:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 31/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 31/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [13:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [13:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [13:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [13:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [13:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 31/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 31/07/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [13:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [13:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [13:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [13:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:30:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:30:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:30:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [13:30:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [13:30:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [13:30:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [13:30:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [14:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [14:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [14:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [14:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml nb: 1
t0: [15:30:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 55.5556 u1: ml/cmH st: NotStopd t0: [15:30:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [15:30:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [15:30:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [15:30:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:30:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [15:30:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:30:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:30:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [15:30:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [15:30:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [15:30:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [15:30:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [15:30:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [15:30:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:30:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [15:30:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [15:30:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [15:30:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [15:30:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [15:30:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:30:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:30:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 450 u1: ml/B st: NotStopd t0: [15:30:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [15:30:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [15:30:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [14:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [14:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [14:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [15:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [15:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [16:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:15:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:15:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:15:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:15:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:15:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:15:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [16:15:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:30:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [16:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [17:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 110 u2: mmHg st: NotStopd t0: [17:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [17:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [17:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 31/07/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [16:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [16:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 31/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [15:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [15:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [15:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml t0: [16:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [16:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [16:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 3 vu: ml t0: [17:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [17:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [17:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2.5 vu: ml
t0: [16:00:00 31/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [17:45:00 31/07/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd
t0: [17:36:00 31/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [17:36:00 31/07/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd
t0: [16:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [18:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [18:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [16:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [17:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml t0: [18:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [18:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [18:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml t0: [18:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [18:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [16:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [16:00:00 31/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 31/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 31/07/2016] id: Support Systems el: 0 cu: CSRU cg: RN st: NotStopd t0: [16:00:00 31/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [19:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [19:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [19:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [19:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [19:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [19:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [19:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 31/07/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [20:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right Subclavian st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [20:00:00 31/07/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 31/07/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/07/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Pain st: NotStopd t0: [20:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 31/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 31/07/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [20:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 31/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 31/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [20:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [20:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [20:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [20:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 31/07/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 41.6667 u1: ml/cmH st: NotStopd t0: [20:00:00 31/07/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [20:00:00 31/07/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 31/07/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [20:00:00 31/07/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [20:00:00 31/07/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 31/07/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 31/07/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 31/07/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 31/07/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 31/07/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [20:00:00 31/07/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 31/07/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 15.3 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 31/07/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 31/07/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 31/07/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 31/07/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 31/07/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 31/07/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [20:00:00 31/07/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 31/07/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [20:00:00 31/07/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 31/07/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 31/07/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [20:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [20:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 101.6 u1: Deg. F st: NotStopd
t0: [21:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [21:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [21:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [21:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [21:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 31/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd t0: [21:00:00 31/07/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.2 u1: % rs: Final st: NotStopd t0: [21:00:00 31/07/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [21:00:00 31/07/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 187 rs: Final st: NotStopd t0: [21:00:00 31/07/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.17 u1: /mic l rs: Final st: NotStopd t0: [21:00:00 31/07/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.8 rs: Final st: NotStopd
t0: [22:00:00 31/07/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 31/07/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [22:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 31/07/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 31/07/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 31/07/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [22:00:00 31/07/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [22:00:00 31/07/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [22:00:00 31/07/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [22:00:00 31/07/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [22:00:00 31/07/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [22:00:00 31/07/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [22:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 31/07/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 31/07/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 31/07/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 31/07/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [22:00:00 31/07/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [22:00:00 31/07/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [22:00:00 31/07/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [22:00:00 31/07/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 31/07/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 31/07/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 31/07/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:00:00 31/07/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 31/07/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 31/07/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 31/07/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/07/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 31/07/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 31/07/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 31/07/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [22:00:00 31/07/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [22:00:00 31/07/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 31/07/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 31/07/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 31/07/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 31/07/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 31/07/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 31/07/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 31/07/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 31/07/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 31/07/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [22:00:00 31/07/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 39.2222 u1: Deg. C st: NotStopd t0: [22:00:00 31/07/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 102.6 u1: Deg. F st: NotStopd t0: [22:00:00 31/07/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [22:00:00 31/07/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 31/07/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 31/07/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 31/07/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 31/07/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 31/07/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [23:00:00 31/07/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 31/07/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 31/07/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 31/07/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 31/07/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 31/07/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [23:00:00 31/07/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 31/07/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 174 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 31/07/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [23:00:00 31/07/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 31/07/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 31/07/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 31/07/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 31/07/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 31/07/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 31/07/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 31/07/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [22:00:00 31/07/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [22:00:00 31/07/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml t0: [23:00:00 31/07/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [22:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/07/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 31/07/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 31/07/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:29:00 31/07/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [23:29:00 31/07/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [23:29:00 31/07/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [23:29:00 31/07/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [23:29:00 31/07/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [23:29:00 31/07/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [23:29:00 31/07/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9065 u1: ml/dl st: NotStopd t0: [23:29:00 31/07/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 93 u1: % rs: Final st: NotStopd
t0: [00:00:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 71.4286 u1: ml/cmH st: NotStopd t0: [00:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [00:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [00:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [00:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 01/08/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [00:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [00:00:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [00:00:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 01/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 330 u1: ml/B st: NotStopd t0: [00:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 01/08/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 01/08/2016] id: Pain Level/Response el: 0 cu: CSRU cg: RN v1: 1-None to Mild st: NotStopd t0: [00:00:00 01/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/08/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [00:00:00 01/08/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [00:00:00 01/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [00:00:00 01/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push v2: IV Push st: NotStopd t0: [00:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [00:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [00:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [00:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 01/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [00:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [00:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 80 vu: ml t0: [00:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [00:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [00:00:00 01/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 31/07/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd
t0: [01:32:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.494 u1: ml/dl st: NotStopd t0: [01:32:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:32:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [01:41:00 01/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.5 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 178 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.25 u1: /mic l rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.5 rs: Final st: NotStopd
t0: [01:00:00 01/08/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [01:00:00 01/08/2016] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [01:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [01:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#2 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [01:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [01:00:00 01/08/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 01/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 149 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [01:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [01:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:41:00 01/08/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.7 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 32.8 rs: Final st: NotStopd t0: [02:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [02:00:00 01/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [02:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [02:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [02:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [02:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [02:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [02:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [02:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [02:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 01/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 174 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [02:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg st: NotStopd t0: [02:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [02:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [02:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [02:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [02:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 01/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 90 u1: % st: NotStopd t0: [02:00:00 01/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [02:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 39.7778 u1: Deg. C st: NotStopd t0: [02:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 103.6 u1: Deg. F st: NotStopd t0: [02:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [02:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 01/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 01/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [02:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 10 vu: ml t0: [02:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 20 vu: ml t0: [02:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 80 vu: ml t0: [02:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [02:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 8 vu: ml
t0: [01:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:41:00 01/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 u1: mEq/L rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [00:00:00 01/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 126 rs: Manual st: NotStopd t0: [03:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [03:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [03:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [03:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [03:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [03:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [03:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [03:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:41:00 01/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.3 rs: Final st: NotStopd t0: [01:41:00 01/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd
t0: [01:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 300 vu: ml
t0: [04:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [04:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [04:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [04:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [04:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [04:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [04:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 01/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [04:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 39.3333 u1: Deg. C st: NotStopd t0: [04:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 102.8 u1: Deg. F st: NotStopd t0: [04:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [04:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 01/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [04:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [04:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [04:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [04:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [04:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 71.4286 u1: ml/cmH st: NotStopd t0: [04:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [04:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 14 t0: [04:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [04:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6.5 st: NotStopd t0: [04:00:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [04:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [04:00:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [04:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [05:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [05:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [05:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [05:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [05:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [05:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [05:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 01/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 60.9756 u1: units st: NotStopd t0: [05:00:00 01/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 60.9756 u1: units st: NotStopd t0: [05:00:00 01/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:00:00 01/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.41 u1: L st: NotStopd
t0: [06:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [06:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [06:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [06:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [06:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [06:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [06:00:00 01/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [06:00:00 01/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 01/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [06:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [06:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [06:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [06:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [06:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 01/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Rectal st: NotStopd t0: [06:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [06:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [06:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: AirMatt/1st Step st: NotStopd t0: [06:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 01/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [06:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [06:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [06:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [06:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [06:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [05:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [06:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [06:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd
t0: [06:12:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [06:12:00 01/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd
t0: [06:00:00 01/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 159 rs: Manual st: NotStopd t0: [07:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [07:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [07:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [07:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [07:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [07:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:17:00 01/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [06:17:00 01/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd
t0: [07:00:00 01/08/2016] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 01/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 01/08/2016] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [06:00:00 02/08/2016] pt: Unit Dose rt: IV fr: ONCE fs: 7 dn: 1 m1: Morphine Sulfate v1: 2 u1: mg
t0: [08:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 01/08/2016] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 01/08/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [08:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [08:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 8 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 3 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#2 Site Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Axilla st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 6 v2: 29 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 01/08/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [08:00:00 01/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 01/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 01/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 01/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [08:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [08:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [08:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 01/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [08:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [08:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [08:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [08:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [08:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 83.3333 u1: ml/cmH st: NotStopd t0: [08:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [08:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 12 t0: [08:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [08:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 01/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [08:00:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:00:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [08:00:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [08:00:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 01/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [08:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:01:00 01/08/2016] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:01:00 01/08/2016] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:01:00 01/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [08:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [08:00:00 01/08/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 0.995632 u1: m2 st: NotStopd t0: [08:00:00 01/08/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.16813 u1: m2 st: NotStopd t0: [08:00:00 01/08/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [08:00:00 01/08/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd
t0: [08:00:00 01/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml
t0: [09:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [09:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [09:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [09:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [09:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [09:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [09:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [09:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 01/08/2016] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 01/08/2016] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [22:00:00 03/08/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 9, 17, 1 dn: 3 m1: Piperacillin-Tazobactam Na v1: 4.5 u1: gm m2: Iso-Osmotic Dextrose v2: 100 u2: ml tf: [11:00:00 04/08/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 9 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [08:00:00 01/08/2016] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 01/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 01/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [09:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:30:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [09:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [09:45:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:45:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:45:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:45:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:45:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:45:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:45:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:45:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [09:45:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:45:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [09:45:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [09:45:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [09:45:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [09:45:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [09:45:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:45:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:45:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:45:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 41 u2: mmHg st: NotStopd
t0: [08:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [10:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [10:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [10:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [10:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [10:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [10:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [10:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [10:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [10:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [10:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 31 u2: mmHg st: NotStopd t0: [10:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 51 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [10:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [10:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [10:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [10:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [10:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [10:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [10:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [10:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [10:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [10:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [10:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [10:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:30:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [10:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [10:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:32:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.6222 u1: ml/dl st: NotStopd t0: [10:32:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [10:32:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [11:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [11:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [11:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [11:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [11:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 8.75 vu: ml t0: [11:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [11:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [11:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [11:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 01/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [08:00:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 01/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [10:00:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [08:00:00 01/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 01/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 01/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [10:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [10:28:00 01/08/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [10:28:00 01/08/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [10:28:00 01/08/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [10:28:00 01/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 86 rs: Final st: NotStopd t0: [10:28:00 01/08/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [11:30:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [11:30:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 20cm v2: Lip st: NotStopd t0: [11:30:00 01/08/2016] id: ETT Position Change el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [11:30:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:30:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 12 t0: [11:30:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:30:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:30:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:30:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [11:30:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [11:30:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:30:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:30:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:30:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [11:30:00 01/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [11:30:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [11:30:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 535 u1: ml/B st: NotStopd t0: [11:30:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:30:00 01/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 320 u1: ml/B st: NotStopd t0: [11:30:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [11:30:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [11:30:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [11:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:30:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [11:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [11:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [12:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 01/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [12:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [12:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 01/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 01/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 01/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 01/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 01/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 01/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [12:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [12:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [12:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [12:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [12:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [12:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [12:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [12:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 8.75 vu: ml t0: [12:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [12:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [12:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [12:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd
t0: [12:15:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:15:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:15:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:15:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:15:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:15:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:15:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:15:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [12:15:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [12:15:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:15:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [12:15:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:15:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [12:15:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:15:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:15:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [12:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd
t0: [12:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [12:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:30:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [12:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [12:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [12:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:45:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:45:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:45:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:45:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [12:45:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:45:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:45:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:45:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [12:45:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [12:45:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [12:45:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:45:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:45:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:30:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd
t0: [13:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [13:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [13:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [13:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [13:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [13:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [13:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [13:11:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [13:11:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -5 rs: Final st: NotStopd t0: [13:11:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [13:11:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [13:11:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [13:11:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [13:11:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.303 u1: ml/dl st: NotStopd t0: [13:11:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 94 u1: % rs: Final st: NotStopd
t0: [12:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [12:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [12:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [13:45:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:45:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:45:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:45:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [13:45:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [13:45:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [13:45:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:45:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:45:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [13:45:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:45:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:45:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [14:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [14:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [14:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [14:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 01/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [14:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [14:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [14:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [14:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [14:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [14:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [14:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 01/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [14:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [14:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [14:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [14:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [14:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [13:45:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:45:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:45:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [14:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [14:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [14:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 01/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml
t0: [15:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [15:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [15:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [15:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 13.75 vu: ml t0: [15:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [15:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [15:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [15:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [13:00:00 01/08/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [14:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [14:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [14:00:00 01/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [14:00:00 01/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [14:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [15:34:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.7354 u1: ml/dl st: NotStopd t0: [15:34:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [15:34:00 01/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.03 rs: Final st: NotStopd t0: [15:34:00 01/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd t0: [16:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [16:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [16:00:00 01/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 01/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 01/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 01/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [16:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [16:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [16:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [16:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [16:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [16:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 01/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 01/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 01/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [16:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 12.5 vu: ml t0: [16:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [16:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [16:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [16:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 125 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [22:00:00 03/08/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 16, 4 dn: 2 m1: Ciprofloxacin v1: 400 u1: mg m2: D5W v2: 200 u2: ml
t0: [16:00:00 01/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml
t0: [16:00:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 83.3333 u1: ml/cmH st: NotStopd t0: [16:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [16:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [16:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:00:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [16:00:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [16:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:00:00 01/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [16:00:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:00:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [16:00:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [16:00:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [16:00:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 01/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [16:00:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
id: Neosynephrine-k el: 500 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip
t0: [17:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [17:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 39.3333 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [17:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [17:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 01/08/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Fluid Bolus st: NotStopd t0: [17:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 01/08/2016] tf: [19:00:00 04/08/2016] dt: 4440 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 250 vu: ml t0: [17:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [17:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 12.5 vu: ml t0: [17:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [17:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [17:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [17:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
id: D5W el: 5 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 3 cu: CSRU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [17:00:00 01/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml
t0: [17:00:00 01/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Culture/remarks st: NotStopd
t0: [16:00:00 01/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 01/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:55:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:55:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [17:55:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:55:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:55:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:55:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:55:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:55:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:55:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [17:55:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 49.6667 u1: mmHg st: NotStopd t0: [17:55:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:55:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [17:55:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:55:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [17:55:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:55:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:55:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [18:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 01/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 01/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [18:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 49.6667 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [18:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [18:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [18:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [18:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 01/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [18:05:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:05:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:05:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:05:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:05:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:05:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:05:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:05:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:05:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [18:05:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 45.6667 u1: mmHg st: NotStopd t0: [18:05:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:05:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:05:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:05:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:05:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:05:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [18:05:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:05:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:10:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:10:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:10:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:10:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:10:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:10:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:10:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:10:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:10:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [18:10:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [18:10:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:10:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:10:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [18:10:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [18:10:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:10:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 01/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 250 vu: ml t0: [18:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [18:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 01/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [18:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [18:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [18:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [18:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [17:55:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/08/2016] tf: [08:15:00 03/08/2016] dt: 2295 id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:55:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:05:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:05:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:05:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:05:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:10:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:10:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:10:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:10:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [18:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [17:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml
t0: [18:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [18:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [18:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [18:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [18:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 132 rs: Manual st: NotStopd
t0: [18:38:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.157 u1: ml/dl st: NotStopd t0: [18:38:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.33 rs: Final st: NotStopd t0: [18:38:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [19:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [19:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [19:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [19:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [19:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [19:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [19:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 01/08/2016] tf: [08:15:00 03/08/2016] dt: 2235 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 23.8333 vu: ml t0: [19:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [19:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [19:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [19:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [19:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:05:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:05:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:05:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:05:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:05:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:05:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:05:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:05:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:05:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:05:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [19:05:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:05:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:05:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:05:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:05:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:05:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:05:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:05:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [17:00:00 08/08/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl v1: 60 u1: mg m2: D5W v2: 250 u2: ml
t0: [19:15:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:15:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:15:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:15:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:15:00 01/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:15:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:15:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [19:15:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:15:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:15:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [19:15:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:15:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:15:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:15:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:15:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:15:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:15:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:15:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:30:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:30:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:30:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:30:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [19:30:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:30:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:30:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 49.6667 u1: mmHg st: NotStopd t0: [19:30:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [19:30:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [19:30:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:30:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [19:30:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [19:30:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:30:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:30:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:30:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [20:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 49.3333 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [20:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [20:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [20:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 01/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 26.4333 vu: ml t0: [20:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [20:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [20:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [20:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [20:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 01/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 83.3333 u1: ml/cmH st: NotStopd t0: [20:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 01/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 13 t0: [20:00:00 01/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:5.0 st: NotStopd t0: [20:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 01/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 01/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6.5 st: NotStopd t0: [20:00:00 01/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [20:00:00 01/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 01/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 01/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 01/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 01/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 01/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 01/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 610 u1: ml/B st: NotStopd t0: [20:00:00 01/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 01/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 01/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 01/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 01/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [21:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:00:00 01/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 53.6667 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [21:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [21:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [21:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [21:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [21:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 01/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 28.6 vu: ml t0: [21:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [21:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [21:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [21:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [21:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 01/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 01/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 01/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [21:00:00 01/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 01/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [21:00:00 01/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd
t0: [21:25:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.2081 u1: ml/dl st: NotStopd t0: [21:25:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 194 u1: mmHg rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 72 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.05 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [20:00:00 01/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 01/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 01/08/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [20:00:00 01/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 01/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 01/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 01/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 01/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [21:00:00 01/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 77 rs: Manual st: NotStopd
t0: [21:00:00 01/08/2016] tf: [09:00:00 04/08/2016] dt: 3600 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml
t0: [21:00:00 01/08/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Fluid Bolus st: NotStopd t0: [21:25:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.29 rs: Final st: NotStopd t0: [21:25:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.29 rs: Final st: NotStopd
t0: [21:00:00 01/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 250 vu: ml
t0: [20:00:00 01/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 01/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 01/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 01/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 01/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 01/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 01/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Femoral, Left st: NotStopd t0: [20:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 01/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 01/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 01/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 01/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 01/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 01/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [22:00:00 01/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [22:00:00 01/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [22:00:00 01/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [22:00:00 01/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [22:00:00 01/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [22:00:00 01/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [22:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [22:00:00 01/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [22:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 01/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [22:00:00 01/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [22:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 01/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 26 vu: ml t0: [22:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [22:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [22:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [22:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [22:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 01/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
t0: [20:00:00 01/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd
t0: [20:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd
t0: [20:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [21:45:00 01/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 79 rs: Manual st: NotStopd
t0: [22:32:00 01/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.0128 u1: ml/dl st: NotStopd t0: [22:32:00 01/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 131 u1: mmHg rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 75 rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [22:15:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:15:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:15:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:15:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [22:15:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:15:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:15:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [22:15:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 9 u1: BPM st: NotStopd t0: [22:15:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:15:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 01/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd
t0: [22:15:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:15:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:15:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:30:00 01/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 250 vu: ml t0: [23:00:00 01/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [23:00:00 01/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 01/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 20.3125 vu: ml t0: [23:00:00 01/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [23:00:00 01/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [23:00:00 01/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [23:00:00 01/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [23:00:00 01/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 35 cv: 35 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 1000 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 35 cv: 1490 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 35 cv: 1490 ap: none
t0: [20:00:00 01/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 01/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [23:00:00 01/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 01/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [23:00:00 01/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:00:00 01/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [23:00:00 01/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 01/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 01/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 01/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 01/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 01/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 01/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 01/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 01/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 01/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 01/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 01/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [20:00:00 01/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 01/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [23:00:00 01/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 01/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 01/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 01/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 01/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 01/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [23:00:00 01/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 02/08/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [00:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 02/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 02/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [00:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 02/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [00:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 02/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [00:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [00:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 02/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 02/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [00:00:00 02/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [00:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [00:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 19.5 vu: ml t0: [00:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [00:00:00 02/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml st: Stopped t0: [00:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [00:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml nb: 1
t0: [00:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [22:32:00 01/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: RN v1: 7.28 rs: Final st: NotStopd t0: [22:32:00 01/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: RN v1: 7.28 rs: Final st: NotStopd t0: [23:00:00 01/08/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: Fluid Bolus st: NotStopd
t0: [23:00:00 01/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [23:00:00 01/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [23:00:00 01/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [23:00:00 01/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [23:00:00 01/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 01/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [23:00:00 01/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [23:30:00 01/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 123 rs: Manual st: NotStopd
t0: [00:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [00:20:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.25 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.988 u1: ml/dl st: NotStopd t0: [00:20:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -8 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 123 u1: mmHg rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.25 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [00:20:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 13 t0: [00:00:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4.3 st: NotStopd t0: [00:00:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 02/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [00:00:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [00:00:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [00:00:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [01:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [01:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 16.25 vu: ml t0: [01:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [01:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [01:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [01:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 500 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:20:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -7 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.27 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [01:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [00:53:00 02/08/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 15.2 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 48.3 rs: Final st: NotStopd
t0: [00:53:00 02/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 18 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 u1: mEq/L rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 140 rs: Final st: NotStopd
t0: [00:53:00 02/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.2 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.4 u1: % rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.8 u1: gm/dl rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.82 u1: /mic l rs: Final st: NotStopd t0: [00:53:00 02/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 23.2 rs: Final st: NotStopd t0: [01:20:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9871 u1: ml/dl st: NotStopd
t0: [02:00:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd
t0: [00:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [00:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [02:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [02:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [02:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [01:00:00 03/08/2016] pt: Unit Dose rt: IV fr: ONCE fs: 2 dn: 1 m1: Sodium Bicarbonate v1: 100 u1: mEq
t0: [02:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 5 vu: ml t0: [02:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [02:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [02:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [02:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [03:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [03:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [03:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [03:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [03:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [03:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [03:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [03:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [03:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [03:05:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.928 u1: ml/dl st: NotStopd t0: [03:05:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 158 u1: mmHg rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 158 rs: Final st: NotStopd t0: [03:05:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [23:00:00 01/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [23:00:00 01/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 354.312 cv: 354.312 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 349.312 cv: 3042.43 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 389.312 cv: 4132.43 ap: none t0: [23:00:00 01/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 354.312 cv: 2642.43 ap: none t0: [23:00:00 01/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 354.312 cv: 860.094 ap: carryForward
t0: [00:53:00 02/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd
t0: [02:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [02:30:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [00:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 02/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [23:00:00 01/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 02/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [04:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [04:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 9.75 vu: ml t0: [04:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [04:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [04:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [04:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [04:00:00 02/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.2778 u1: Deg. C st: NotStopd t0: [04:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.3 u1: Deg. F st: NotStopd
t0: [20:00:00 01/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 02/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd
t0: [00:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [03:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [03:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [04:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 02/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 02/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [04:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [04:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 02/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Body, Upper st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 02/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 02/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 21.7391 u1: ml/cmH st: NotStopd t0: [04:00:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [04:00:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [04:00:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 02/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [04:00:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 560 u1: ml/B st: NotStopd t0: [04:00:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 02/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [05:00:00 02/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [05:00:00 02/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [22:00:00 01/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:00:00 01/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 01/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 02/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [02:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 02/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 02/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 02/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 02/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [05:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 52.9 u1: kg st: NotStopd t0: [05:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [05:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [05:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [05:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [05:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [05:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd
t0: [06:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 68 u1: BPM st: NotStopd t0: [06:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [06:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [06:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [06:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 02/08/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.01875 u1: m2 st: NotStopd t0: [06:00:00 02/08/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.19463 u1: m2 st: NotStopd t0: [06:00:00 02/08/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/08/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd
t0: [06:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [06:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [06:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [06:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [06:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [06:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:13:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.1732 u1: ml/dl st: NotStopd t0: [06:13:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -6 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 161 u1: mmHg rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.34 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.75 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 rs: Final st: NotStopd t0: [06:13:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [06:26:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [06:26:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9437 u1: ml/dl st: NotStopd t0: [06:26:00 02/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.19 rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:26:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 185 rs: Final st: NotStopd t0: [06:26:00 02/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd t0: [07:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [07:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [07:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [07:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 02/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [07:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 9.75 vu: ml t0: [07:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [07:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [07:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [07:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 02/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 02/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 02/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 02/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [08:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [08:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [08:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 02/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 02/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 02/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 02/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 02/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 46.6667 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 02/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [08:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [08:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [08:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [08:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 02/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 02/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [08:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 6.5 vu: ml t0: [08:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [08:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [08:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [08:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:15:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:15:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [08:15:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:15:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:15:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:15:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:15:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [08:15:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:15:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:15:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [08:15:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:15:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [08:15:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:15:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:15:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:15:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:15:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:15:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:15:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [08:00:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [08:00:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:00:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 02/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [08:00:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 02/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [08:00:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:00:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 02/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 02/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [08:00:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:30:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [08:30:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [08:30:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:30:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [08:30:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [08:30:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:30:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [09:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [09:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [09:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [09:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 3.9 vu: ml t0: [09:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [09:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [09:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [09:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 02/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 30 cv: 1835 ap: none t0: [23:00:00 02/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 30 cv: 1835 ap: carryForward
t0: [09:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [09:11:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.8848 u1: ml/dl st: NotStopd t0: [09:11:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [09:11:00 02/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [09:11:00 02/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [10:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [10:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [10:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [10:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [10:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [10:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [10:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [10:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [10:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [10:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [10:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [10:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [10:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [10:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [10:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 3.9 vu: ml t0: [10:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [10:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [10:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [10:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [10:00:00 03/08/2016] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Cosyntropin v1: 250 u1: mcg
t0: [11:30:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [11:30:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [11:30:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:30:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [11:30:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:30:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [11:30:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:30:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 02/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:30:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:30:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [11:30:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [11:30:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:30:00 02/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [11:30:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:30:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:30:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:30:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:30:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [11:30:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [11:30:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [11:30:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:30:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [11:30:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [11:30:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 02/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: MRI st: NotStopd t0: [12:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 02/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 02/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [12:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 02/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 02/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 02/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 02/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [12:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [12:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [12:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 78 rs: Manual st: NotStopd
t0: [12:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [12:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [12:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [12:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 4 vu: ml
t0: [12:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36 u1: Deg. C st: NotStopd t0: [12:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.8 u1: Deg. F st: NotStopd t0: [13:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [13:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [13:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [13:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 02/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vu: ml t0: [12:00:00 02/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 5.2 vu: ml st: NotStopd t0: [13:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [13:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 2.6 vu: ml t0: [13:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [13:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [13:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [12:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: NotStopd t0: [13:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 03/08/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 13 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [08:00:00 02/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [08:00:00 02/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 02/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 02/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 02/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [08:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [10:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [13:00:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 82 rs: Manual st: NotStopd
t0: [11:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml
t0: [13:40:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:40:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:40:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:40:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:40:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:40:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [13:40:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:40:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [13:40:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [13:40:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:40:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [13:40:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:40:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:40:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:40:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:40:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:40:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:40:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:35:00 02/08/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 12 rs: Final st: NotStopd t0: [12:35:00 02/08/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [12:35:00 02/08/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [12:35:00 02/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 57 rs: Final st: NotStopd t0: [12:35:00 02/08/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd
id: Fresh Frozen Plasma el: 2 cu: CSRU cg: RN io: Fresh Frozen Plasma IV Infusions du: ml rt: Intravenous Push
t0: [14:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [14:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [14:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [14:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [14:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [14:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [14:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [14:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [14:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [14:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [14:00:00 02/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [14:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [14:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 2.6 vu: ml t0: [14:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [14:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [14:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [14:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 02/08/2016] tf: [10:00:00 06/08/2016] dt: 5520 id: Fresh Frozen Plasma IV Infusions el: 2 cu: CSRU cg: RN ai: -1 vo: 361 vu: ml
t0: [14:15:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:15:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:15:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [14:15:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:15:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [14:15:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [14:15:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:15:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:15:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:15:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:15:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [14:15:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:15:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:15:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [14:30:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:30:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:30:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [14:30:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:30:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [14:30:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [14:30:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:30:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:30:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:30:00 02/08/2016] id: Fresh Frozen Plasma IV Infusions el: 2 cu: CSRU cg: RN ai: -1 vo: 344 vu: ml
t0: [23:00:00 02/08/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 705 ap: none
t0: [14:30:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [15:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [15:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [15:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [15:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 3.9 vu: ml t0: [15:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [15:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [15:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [15:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:05:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:05:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [15:05:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:05:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:05:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:05:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:05:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:05:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:05:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:05:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [15:05:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:05:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:05:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:05:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:05:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:10:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:10:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:10:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:10:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:10:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:10:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:10:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:10:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:10:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [15:10:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:10:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:10:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:10:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:10:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:10:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:15:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:15:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:15:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:15:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:15:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:15:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:15:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:15:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [15:15:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:15:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:15:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [15:15:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:15:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:05:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:05:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:05:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:05:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:10:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:10:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:10:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:10:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:15:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:15:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:15:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:20:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:20:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:20:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:20:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:20:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:20:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:20:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:20:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:20:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:20:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:20:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:20:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:20:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:20:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:20:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:20:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:20:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:20:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:20:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [14:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [15:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [15:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd
t0: [15:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [15:20:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd
t0: [15:25:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.8 u1: torr st: NotStopd t0: [15:25:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd
t0: [15:30:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [15:30:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:30:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [15:30:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:30:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [15:30:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:30:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:30:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [15:30:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:30:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:30:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd
t0: [15:12:00 02/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd
t0: [15:30:00 02/08/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [15:54:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.7079 u1: ml/dl st: NotStopd t0: [15:54:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [15:54:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [15:00:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd t0: [16:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [16:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.9 u1: torr st: NotStopd t0: [16:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [16:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [16:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [16:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 02/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 02/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 02/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [16:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [16:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [16:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 02/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [16:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 16.7917 vu: ml t0: [16:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 8.75 vu: ml t0: [16:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [16:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [16:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:12:00 02/08/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [15:12:00 02/08/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.9 rs: Final st: NotStopd
t0: [16:15:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 19.2308 u1: ml/cmH st: NotStopd t0: [16:15:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [16:15:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.8 u1: torr st: NotStopd t0: [16:15:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [16:15:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [16:15:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:15:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:15:00 02/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [16:15:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:15:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [16:15:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.7 u1: L/min st: NotStopd t0: [16:15:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:15:00 02/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [16:15:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:15:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:15:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:15:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:15:00 02/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:15:00 02/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:15:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:15:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:15:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [16:15:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [16:15:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:15:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:15:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [16:15:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:15:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:15:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:15:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [16:15:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:15:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [16:15:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:15:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:15:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:15:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:15:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:15:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:30:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:30:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [16:30:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:30:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:30:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [16:30:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:30:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [16:30:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:30:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [16:30:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:30:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:30:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:30:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:45:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:45:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:45:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:45:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:45:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:45:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:45:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:45:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [16:45:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [16:45:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:45:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [16:45:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [16:45:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:45:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:45:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:45:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:45:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:45:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Lumbar Puncture st: NotStopd t0: [16:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [16:45:00 02/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd t0: [17:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [17:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [17:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [17:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [17:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [17:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [17:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [17:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [17:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 1.1 cv: 1.1 ap: none t0: [23:00:00 02/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 31.1 cv: 2196.24 ap: none t0: [23:00:00 02/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 31.1 cv: 2901.24 ap: none t0: [23:00:00 02/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 1.1 cv: 1066.24 ap: carryForward t0: [23:00:00 02/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 1.1 cv: 1926.34 ap: carryForward
t0: [17:15:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:15:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:15:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:15:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:15:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:15:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [17:15:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:15:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:15:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:15:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:15:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:15:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:15:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:15:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:30:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [18:03:00 02/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.7389 u1: ml/dl st: NotStopd t0: [18:03:00 02/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [16:00:00 02/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 02/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [18:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 02/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 02/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 02/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [18:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [18:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [18:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [18:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [18:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 02/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [18:00:00 02/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [18:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [18:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [18:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 02/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [18:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 02/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [18:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [18:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 4 mm st: NotStopd t0: [18:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 02/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 02/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 02/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 02/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 02/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 02/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 02/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [18:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [18:03:00 02/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.11 rs: Final st: NotStopd t0: [18:03:00 02/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd
t0: [10:00:00 02/08/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vu: ml es: Small t0: [17:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [17:00:00 02/08/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: RN vu: ml es: Medium t0: [18:00:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [18:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [18:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 11.05 vu: ml t0: [18:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [18:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [18:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [18:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [18:00:00 02/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [18:30:00 02/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [19:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [19:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [19:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [19:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 02/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [19:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 7.8 vu: ml t0: [19:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [19:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [19:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [19:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:25:00 02/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd
t0: [20:00:00 02/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 02/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 02/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 5 u1: points st: NotStopd t0: [20:00:00 02/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [20:00:00 02/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 02/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [20:00:00 02/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 02/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 02/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 02/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 02/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 02/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 02/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 02/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 02/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 3 mm st: NotStopd t0: [20:00:00 02/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 02/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 02/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 02/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 02/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 02/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 02/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 02/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 02/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 02/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 02/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd
t0: [20:00:00 02/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 02/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [20:00:00 02/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [20:00:00 02/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 02/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [20:00:00 02/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 02/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 02/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 02/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 02/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 02/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [20:00:00 02/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 02/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 02/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 02/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 02/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 02/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 02/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 525 u1: ml/B st: NotStopd t0: [20:00:00 02/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 02/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 02/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 02/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 117 vo: 0 vu: ml t0: [20:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 10.4 vu: ml t0: [20:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml nb: 1 t0: [20:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [20:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [20:00:00 02/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 114 rs: Manual st: NotStopd
t0: [21:00:00 02/08/2016] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 117 vo: 0 st: D/C'd
t0: [20:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 65 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [20:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [20:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 02/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [21:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 02/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 02/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Rare st: NotStopd t0: [21:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [21:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [21:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [21:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [21:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 02/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Plug st: NotStopd t0: [21:00:00 02/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [21:00:00 02/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 02/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [21:00:00 02/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [21:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 02/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 02/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 02/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 02/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 02/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 02/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [21:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 10.4 vu: ml t0: [21:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [21:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml t0: [21:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml nb: 1
t0: [20:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/08/2016] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.7 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [22:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [22:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 9.1 vu: ml t0: [22:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [22:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [22:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [22:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.7 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [21:00:00 05/08/2016] pt: Unit Dose rt: NU fr: BID fs: 10, 22 dn: 2 m1: Oxymetazoline HCl v1: 6 u1: SPRY
t0: [23:00:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [23:00:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [23:00:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 02/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 02/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 9.1 vu: ml t0: [23:00:00 02/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [23:00:00 02/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [23:00:00 02/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [23:00:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 02/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 02/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [20:00:00 02/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [00:00:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [00:00:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [00:00:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [00:00:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [00:00:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:00:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [00:00:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [23:30:00 02/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:30:00 02/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [23:30:00 02/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:30:00 02/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 02/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:30:00 02/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [23:30:00 02/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:30:00 02/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 145 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:30:00 02/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [23:30:00 02/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:30:00 02/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [23:30:00 02/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:30:00 02/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [23:30:00 02/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:45:00 02/08/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:00:00 03/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 03/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [00:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [00:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [00:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [00:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 12 st: NotStopd t0: [00:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [00:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [00:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 03/08/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 03/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 03/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [00:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 03/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [00:45:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:45:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [00:45:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:45:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:45:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:45:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [00:45:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:45:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:45:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [00:45:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:45:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:45:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:45:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:45:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:50:00 03/08/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:55:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:55:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [00:55:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:55:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:55:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:55:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [00:55:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:55:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [00:55:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [00:55:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:55:00 03/08/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:55:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:55:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:55:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:55:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [01:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [01:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [01:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 03/08/2016] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [01:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [01:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [01:00:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.5 u1: Deg. C st: NotStopd t0: [01:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.7 u1: Deg. F st: NotStopd t0: [01:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [00:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 7.15 vu: ml t0: [00:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [00:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [00:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml t0: [01:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 4.98333 vu: ml t0: [01:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [01:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [01:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [23:30:00 02/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:30:00 02/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 02/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:45:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:45:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:45:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:55:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:55:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:55:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [01:44:00 03/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [01:44:00 03/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.24 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [01:44:00 03/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [02:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [02:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [02:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 12 st: NotStopd t0: [02:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [02:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [02:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [02:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [02:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [02:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [02:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [02:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [02:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml t0: [02:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [02:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 03/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [02:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 03/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [02:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [02:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [02:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [02:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [02:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [02:00:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [01:09:00 03/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd
t0: [03:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [03:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [03:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [03:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [03:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [03:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [03:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [03:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [03:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 03/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: FiO2> 60% st: NotStopd t0: [04:00:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [04:00:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [04:00:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.2 u1: L/min st: NotStopd t0: [04:00:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: None st: NotStopd t0: [04:00:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [04:00:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 129 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [04:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [04:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [05:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [05:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [05:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [05:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [04:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [04:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [04:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml t0: [05:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [05:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [05:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [05:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [04:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [00:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 03/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 03/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [04:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [04:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 12 st: NotStopd t0: [04:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [04:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 03/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [04:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 03/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 03/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [04:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 03/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [05:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [05:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 03/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [05:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [05:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [05:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [00:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [02:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [02:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [02:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [02:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [04:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [04:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [04:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [04:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 03/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [04:00:00 03/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [05:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd
t0: [05:00:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8333 u1: Deg. C st: NotStopd t0: [05:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.3 u1: Deg. F st: NotStopd
t0: [05:38:00 03/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [05:38:00 03/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [06:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [06:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [06:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [06:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [06:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [06:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [06:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [06:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml t0: [06:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [06:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 03/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [06:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [06:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [06:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [06:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [06:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 12 st: NotStopd t0: [06:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 16 French st: NotStopd t0: [06:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [06:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [06:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [06:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [06:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [06:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [06:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.6 u1: torr st: NotStopd
t0: [07:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [07:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [07:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [07:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 2.6 vu: ml t0: [07:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [07:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [07:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [07:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [07:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [07:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [07:00:00 03/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [07:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [07:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [07:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd
t0: [08:00:00 03/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [08:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [08:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [08:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [08:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [08:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 03/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [08:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 03/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [08:00:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [08:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [08:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 03/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 03/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [08:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 2.6 vu: ml t0: [08:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [08:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [08:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [08:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:15:00 03/08/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31.5 rs: Final st: NotStopd
t0: [07:15:00 03/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.4 u1: % rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.1 u1: gm/dl rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.58 u1: /mic l rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.8 rs: Final st: NotStopd
t0: [07:15:00 03/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [07:15:00 03/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
t0: [08:15:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:15:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:15:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [08:15:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2.5 vu: ml t0: [08:15:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0.325 vu: ml st: Stopped t0: [08:15:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 2.5 vu: ml t0: [08:15:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0.5 vu: ml
t0: [08:15:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [08:30:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [08:30:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:30:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [08:30:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:30:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [08:30:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:30:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:30:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:30:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:30:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:30:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.3 u1: L/min st: NotStopd t0: [08:30:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:30:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:30:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:30:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:30:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:30:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [08:30:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:30:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:30:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Scant st: NotStopd t0: [08:30:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [08:30:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:30:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:30:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [08:30:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:58:00 03/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [08:58:00 03/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:58:00 03/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [08:58:00 03/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [08:58:00 03/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [08:58:00 03/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [08:58:00 03/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.071 u1: ml/dl st: NotStopd t0: [08:58:00 03/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [09:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [09:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [09:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 7.5 vu: ml t0: [09:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [09:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [09:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1.5 vu: ml
t0: [09:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 03/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 03/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 03/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 2154.52 ap: none t0: [23:00:00 03/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 2524.52 ap: none t0: [23:00:00 03/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1015 ap: none t0: [23:00:00 03/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 1509.53 ap: none t0: [23:00:00 03/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1015 ap: none t0: [23:00:00 03/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: 3435.86 ap: carryForward
t0: [07:15:00 03/08/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 22.6 rs: Final st: NotStopd
t0: [08:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [08:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [08:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [10:00:00 03/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [10:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [10:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [10:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [10:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [10:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [10:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [10:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [10:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [10:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [10:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [10:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [10:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [10:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [10:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [10:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [10:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:00:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [10:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [10:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [10:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [08:00:00 07/08/2016] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [10:00:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [10:00:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:00:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:00:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [10:00:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:00:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [09:04:00 03/08/2016] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 17.6 rs: Final st: NotStopd
t0: [11:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [11:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [11:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [11:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [11:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [11:00:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml
t0: [11:47:00 03/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [12:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 03/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [12:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [12:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [12:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 03/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [12:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [12:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [12:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 03/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [12:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [12:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [12:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:47:00 03/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 10.7826 u1: ml/dl st: NotStopd t0: [11:47:00 03/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [11:47:00 03/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [11:47:00 03/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [12:00:00 03/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [12:00:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [12:00:00 03/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 115 rs: Manual st: NotStopd
t0: [12:30:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [12:30:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [12:30:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:30:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [12:30:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:30:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [12:30:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:30:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:30:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:30:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [12:30:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [12:30:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.26 u1: L/min st: NotStopd t0: [12:30:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [12:30:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [12:30:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [12:30:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [12:30:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:30:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [12:30:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:30:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [12:30:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:30:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:30:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [12:30:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [12:30:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [12:30:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Green v2: Thick st: NotStopd t0: [12:30:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [13:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [13:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [13:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 03/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [13:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [13:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [13:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:03:00 03/08/2016] id: Vancomycin/Peak Drug Level el: 0 cu: CSRU cg: 3161 v1: 50.8 rs: Final st: NotStopd
t0: [08:00:00 03/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 03/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [14:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [14:00:00 03/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [14:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [14:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [14:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [14:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [14:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [14:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [14:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [14:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [14:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [14:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [14:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [14:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [14:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [14:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [14:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [14:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [14:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [14:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [15:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [15:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [15:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [15:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [15:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Plug st: NotStopd t0: [14:00:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [16:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 03/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [16:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [16:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [16:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 03/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [16:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [16:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 03/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [16:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [16:00:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 03/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 03/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [16:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [16:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [16:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.3333 u1: Deg. C st: NotStopd t0: [16:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 101 u1: Deg. F st: NotStopd
t0: [17:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [17:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [17:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:05:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:05:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:05:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:05:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:05:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:05:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:05:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:05:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [17:05:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [17:05:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:05:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:05:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:05:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:05:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:10:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:10:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:10:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:10:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:10:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:10:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:10:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:10:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [17:10:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [17:10:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:10:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:10:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:10:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:10:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:15:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:15:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:15:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:15:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [17:15:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:15:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [17:15:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:15:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:15:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:15:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:15:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:15:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [17:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [17:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [17:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [17:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/08/2016] tf: [08:00:00 06/08/2016] dt: 3780 id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:05:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:05:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:05:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:10:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:10:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:10:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:15:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:15:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:15:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd
t0: [17:20:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:20:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:20:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:20:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:20:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:20:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:20:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:20:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:20:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:20:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:20:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:20:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [17:20:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:20:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:20:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:20:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:20:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:20:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.6 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [17:30:00 03/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [17:30:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [17:30:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:30:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [17:30:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:30:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [17:30:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [17:30:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [17:30:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:30:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:30:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [17:30:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [17:30:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [17:30:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [17:30:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [17:30:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [17:30:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [17:30:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [17:30:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:30:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:30:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:30:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:30:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [17:30:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [17:30:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [17:30:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [17:30:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [17:30:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [17:30:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [16:00:00 03/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Culture/remarks st: NotStopd
t0: [17:56:00 03/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [17:56:00 03/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [17:56:00 03/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.1 rs: Final st: NotStopd t0: [18:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [18:00:00 03/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [18:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [18:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [18:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [18:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [18:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [18:00:00 03/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [18:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [18:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [18:00:00 03/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [18:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [18:00:00 03/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Gtt st: NotStopd t0: [18:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [18:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [18:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [18:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [18:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 03/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [18:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [18:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [18:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 03/08/2016] tf: [00:00:00 04/08/2016] dt: 360 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 8.66667 vu: ml t0: [18:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [18:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [18:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [18:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:05:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [19:15:00 01/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [17:45:00 03/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 24.6 u1: % rs: Final st: NotStopd
t0: [19:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 03/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 03/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [19:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [19:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [19:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [19:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vo: 500 vu: ml t0: [18:00:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 10.4 vu: ml t0: [19:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [19:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [19:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:30:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [18:30:00 03/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: RN ai: 107 vu: ml
id: Packed RBC's el: 3 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 03/08/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [19:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml
t0: [19:30:00 03/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [19:30:00 03/08/2016] tf: [10:00:00 06/08/2016] dt: 3750 id: Packed RBC's IV Infusions el: 3 cu: CSRU cg: RN ai: -1 vo: 370 vu: ml t0: [19:30:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [19:30:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 5.2 vu: ml t0: [19:30:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [19:30:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [23:00:00 03/08/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 370 ap: none
t0: [20:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [20:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [20:00:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [20:00:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [20:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 5 vu: ml t0: [20:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 5.2 vu: ml t0: [20:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 5 vu: ml t0: [20:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [20:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [20:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 03/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 03/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 03/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 03/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [20:00:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 03/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd t0: [20:00:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [20:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [20:00:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:00:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.7 u1: L/min st: NotStopd t0: [20:00:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:00:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [20:00:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 03/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 03/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 03/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 03/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [21:00:00 03/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [21:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [21:00:00 03/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [21:00:00 03/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [21:00:00 03/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: RN v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [21:00:00 03/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [21:00:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 12 st: NotStopd t0: [21:00:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [21:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [21:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 03/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [21:00:00 03/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [21:00:00 03/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [21:00:00 03/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 03/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [21:00:00 03/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [21:00:00 03/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [21:00:00 03/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 03/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 03/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 03/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [21:00:00 03/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [21:00:00 03/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 03/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [21:00:00 03/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [21:00:00 03/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [21:00:00 03/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 03/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [21:00:00 03/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 03/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 03/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 03/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 03/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 03/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 03/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 03/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 03/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [21:00:00 03/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 03/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 03/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 03/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [21:00:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 10.4 vu: ml t0: [21:00:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 10 vu: ml t0: [21:00:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [21:00:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [21:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [21:01:00 03/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:01:00 03/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [21:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT u1: torr st: NotStopd
t0: [22:00:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:00:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 55.1 u1: kg st: NotStopd t0: [22:00:00 03/08/2016] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Sent st: NotStopd t0: [22:00:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:51:00 03/08/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
tf: [11:00:00 04/08/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Meropenem v1: 1000 u1: mg m2: NS v2: 100 u2: ml tf: [15:00:00 17/08/2016] pt: IV Piggyback rt: IV fr: Q8H fs: 4, 12, 20 dn: 3 m1: Meropenem v1: 1000 u1: mg m2: NS v2: 100 u2: ml
t0: [23:00:00 03/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [23:00:00 03/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [23:00:00 03/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 03/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [23:00:00 03/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [23:00:00 03/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [23:00:00 03/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [23:00:00 03/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [23:00:00 03/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [23:00:00 03/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [23:00:00 03/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [23:00:00 03/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [23:00:00 03/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [23:00:00 03/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [23:00:00 03/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [23:00:00 03/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [23:00:00 03/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [23:00:00 03/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [23:00:00 03/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [23:00:00 03/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 03/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [23:00:00 03/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [23:00:00 03/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [23:30:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:30:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:30:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:30:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [23:30:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:30:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 167 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:30:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [23:30:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:30:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [23:30:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:30:00 03/08/2016] id: Significant Events el: 0 cu: CSRU cg: -1 v1: OR Received st: NotStopd t0: [23:30:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:30:00 03/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [23:30:00 03/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [23:30:00 03/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [23:30:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:45:00 03/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:45:00 03/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:45:00 03/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [23:45:00 03/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [23:45:00 03/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [23:45:00 03/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:45:00 03/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 188 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:45:00 03/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg st: NotStopd t0: [23:45:00 03/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:45:00 03/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [23:45:00 03/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:45:00 03/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:45:00 03/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [00:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 184 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg st: NotStopd t0: [00:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:30:00 03/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml t0: [23:30:00 03/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 26 vu: ml t0: [23:30:00 03/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 25 vu: ml t0: [23:30:00 03/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 5 vu: ml
t0: [23:30:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:30:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 03/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:45:00 03/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:45:00 03/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [00:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [00:00:00 04/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [00:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [00:00:00 04/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [00:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [00:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [00:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [00:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd
t0: [23:30:00 03/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vu: ml t0: [00:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 vu: ml t0: [00:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 5 vu: ml t0: [00:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 180 vu: ml t0: [00:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [00:15:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:15:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [00:15:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:15:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:15:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:15:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [00:15:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:15:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 178 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [00:15:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [00:15:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:15:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [00:15:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:15:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [00:15:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:15:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:15:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:15:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [00:22:00 04/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 9.9639 u1: ml/dl st: NotStopd t0: [00:22:00 04/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.32 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.26 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [00:22:00 04/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 90 u1: % rs: Final st: NotStopd
t0: [00:35:00 04/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.5 u1: % rs: Final st: NotStopd
t0: [01:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [01:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [01:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [01:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [01:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [01:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [01:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 vu: ml t0: [01:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [01:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [01:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 4 vu: ml
t0: [01:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 04/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 9.5 cv: 9.5 ap: none t0: [23:00:00 04/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 69.5 cv: 1064.9 ap: none t0: [23:00:00 04/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 79.5 cv: 2044.9 ap: none t0: [23:00:00 04/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 70 cv: 1435 ap: none t0: [23:00:00 04/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 9.5 cv: 609.9 ap: none t0: [23:00:00 04/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 70 cv: 1435 ap: none t0: [23:00:00 04/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 9.5 cv: 4045.76 ap: carryForward
t0: [01:00:00 04/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd
t0: [00:33:00 04/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd
t0: [01:44:00 04/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 10.6864 u1: ml/dl st: NotStopd t0: [01:44:00 04/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [01:44:00 04/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [02:00:00 04/08/2016] id: GI Intub #2/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 04/08/2016] id: GI#2 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 04/08/2016] id: GI#2 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [00:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [00:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Gravity v2: Bilious st: NotStopd t0: [00:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [00:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [00:00:00 04/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [00:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [02:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [02:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [02:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [02:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [02:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Sluggish st: NotStopd t0: [02:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [02:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [02:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [02:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 vu: ml t0: [02:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [02:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [02:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [02:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/08/2016] id: Stool Out Fecal Bag el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [04:00:00 04/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [04:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 04/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [04:00:00 04/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 04/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 04/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 04/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [04:00:00 04/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 04/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 04/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 04/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [04:00:00 04/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 04/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 04/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [23:00:00 03/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [23:00:00 03/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [00:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [02:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [02:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 2 To pain st: NotStopd t0: [02:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 4 u1: points st: NotStopd t0: [02:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [02:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [02:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [02:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [02:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [02:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [03:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [03:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [03:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [03:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [03:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: NPO st: NotStopd t0: [04:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [04:00:00 04/08/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 2 To pain st: NotStopd t0: [04:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 8 u1: points st: NotStopd t0: [04:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Gravity v2: Bilious st: NotStopd t0: [04:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [04:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [04:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [04:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 04/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [04:00:00 04/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [04:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [04:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [04:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [04:00:00 04/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [04:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [04:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [04:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 04/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [04:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [04:00:00 04/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 04/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [04:00:00 04/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [04:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Moist st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 04/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 11 u1: number st: NotStopd t0: [04:00:00 04/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd
t0: [03:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [03:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 vu: ml t0: [03:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [03:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [03:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml t0: [04:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [04:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 vu: ml t0: [04:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [04:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml t0: [04:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [03:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:14:00 04/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 90 u1: mmHg rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [05:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [05:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [05:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 55.1 u1: kg st: NotStopd t0: [05:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [05:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [05:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [05:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [05:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [05:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:05:00 04/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.8 u1: % rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 94 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.89 u1: /mic l rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [05:14:00 04/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9852 u1: ml/dl st: NotStopd
t0: [05:05:00 04/08/2016] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd
t0: [05:05:00 04/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 15 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 107 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [05:05:00 04/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
id: OR Crystalloid el: 2 cu: CSRU cg: -1 io: OR Crystalloid OR Intake du: ml rt: Intravenous Push
t0: [05:00:00 04/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: No Spon Resp st: NotStopd
t0: [06:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [06:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [06:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [06:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [06:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [06:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [06:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [06:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [06:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:05:00 04/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 1.8 rs: Final st: NotStopd
t0: [06:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [06:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 7 u1: points st: NotStopd t0: [06:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [06:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [06:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [06:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [06:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 4 mm st: NotStopd t0: [06:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [06:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [06:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [02:00:00 04/08/2016] tf: [10:00:00 06/08/2016] dt: 3360 id: OR Crystalloid OR Intake el: 2 cu: CSRU cg: -1 ai: 124 vo: 800 vu: ml
t0: [05:05:00 04/08/2016] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 21.9 rs: Final st: NotStopd
t0: [07:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [07:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [07:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [07:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [07:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 10 vu: ml t0: [07:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 2 vu: ml
t0: [07:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 174 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 04/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 22.7273 u1: ml/cmH st: NotStopd t0: [08:00:00 04/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: RRT v1: PEEP >10 st: NotStopd t0: [08:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [08:00:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 04/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [08:00:00 04/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.8 st: NotStopd t0: [08:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 04/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 04/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 04/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.3 u1: L/min st: NotStopd t0: [08:00:00 04/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 04/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 04/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:00:00 04/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 04/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 04/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 04/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [08:00:00 04/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [08:00:00 04/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 04/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Gravity v2: Bilious st: NotStopd t0: [08:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: Swelling st: NotStopd t0: [08:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 04/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 04/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [08:00:00 04/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 04/08/2016] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [08:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 10 u1: number st: NotStopd t0: [08:00:00 04/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [09:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/08/2016] tf: [11:00:00 04/08/2016] dt: 120 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [08:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [08:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [08:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml t0: [09:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 2.6 vu: ml t0: [09:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [09:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [08:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
tf: [11:00:00 04/08/2016] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Morphine Sulfate v1: 2-4 u1: mg
t0: [09:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [09:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [10:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [10:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [10:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [10:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [10:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [10:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [10:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 04/08/2016] tf: [07:00:00 06/08/2016] dt: 2700 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [10:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 1.3 vu: ml t0: [10:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [10:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [10:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [10:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [10:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [10:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [10:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [10:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [10:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [10:00:00 04/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 20 vu: ml
t0: [10:42:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [10:42:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:42:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:42:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [10:42:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [10:42:00 04/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [10:42:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [10:42:00 04/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [10:42:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 04/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 04/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [11:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [11:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [11:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [11:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [11:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [11:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 04/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 86 rs: Manual st: NotStopd
t0: [11:41:00 04/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [11:41:00 04/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [11:41:00 04/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [11:41:00 04/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [11:41:00 04/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [11:41:00 04/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [12:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [12:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [13:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [12:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [12:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [12:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [12:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml t0: [13:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [13:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [13:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [13:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [13:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [12:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 04/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [13:30:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [13:30:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:30:00 04/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [13:30:00 04/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [13:30:00 04/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [13:30:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:30:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [13:30:00 04/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [13:30:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [13:30:00 04/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [13:30:00 04/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [13:30:00 04/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [13:30:00 04/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [13:30:00 04/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:30:00 04/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:30:00 04/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:30:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [13:30:00 04/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:30:00 04/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:30:00 04/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [13:30:00 04/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [13:30:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [13:30:00 04/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [12:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: Swelling st: NotStopd t0: [12:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 04/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 04/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 04/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [12:00:00 04/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Comp. Limited st: NotStopd t0: [14:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [14:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [14:00:00 04/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [14:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [14:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [14:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [14:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [14:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 04/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 04/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [14:00:00 04/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [14:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [14:00:00 04/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 20 vu: ml t0: [14:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [14:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [14:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [14:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [14:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [14:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 40 ap: none
t0: [15:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [15:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [15:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [15:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [15:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [15:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [15:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [15:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [16:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [16:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [16:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [16:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [16:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [16:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [13:30:00 04/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [13:30:00 04/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd
t0: [12:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Thick st: NotStopd t0: [12:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [14:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Thick st: NotStopd t0: [14:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 04/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [16:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 04/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [16:00:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: Swelling st: NotStopd t0: [16:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [16:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [16:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [16:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 04/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Thick st: NotStopd t0: [16:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [16:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 04/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [16:00:00 04/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [17:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [17:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [17:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [17:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 04/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 04/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [17:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [17:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [17:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [17:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [17:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 140 ap: none
t0: [17:00:00 04/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Ultrasound st: NotStopd
t0: [12:00:00 04/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 04/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 04/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml
t0: [18:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [18:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 7.5 mm st: NotStopd t0: [18:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [18:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [18:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Thick st: NotStopd t0: [18:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [18:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [18:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [18:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [18:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [18:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [18:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [18:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd
t0: [19:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [19:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [19:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [19:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 04/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [19:00:00 04/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [19:00:00 04/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [19:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [19:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [19:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [19:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [19:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
io: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ra: 50 ru: ml/hr
t0: [19:00:00 04/08/2016] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
id: Lactated Ringers el: 4 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [19:00:00 04/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml
t0: [19:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [20:00:00 04/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 04/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [20:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 04/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [20:00:00 04/08/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [20:00:00 04/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 04/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 04/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 04/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 04/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 04/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 04/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 04/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 04/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 04/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 04/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 04/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: Swelling st: NotStopd t0: [20:00:00 04/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 04/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 04/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 04/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 04/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 04/08/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [20:00:00 04/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 04/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [20:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 04/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [20:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 04/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 04/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 04/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 04/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 04/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 04/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned st: NotStopd t0: [20:00:00 04/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 04/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 04/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 04/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [20:00:00 04/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 04/08/2016] tf: [06:01:00 10/08/2016] dt: 7801 id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [20:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [20:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [20:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [20:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [20:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [20:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 04/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 04/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 04/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 04/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 04/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:30:00 04/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [20:30:00 04/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:30:00 04/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:30:00 04/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [20:30:00 04/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:30:00 04/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:30:00 04/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:4 st: NotStopd t0: [20:30:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:30:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:30:00 04/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:30:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:30:00 04/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:30:00 04/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:30:00 04/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [20:30:00 04/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:30:00 04/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:30:00 04/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [20:30:00 04/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:30:00 04/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [20:30:00 04/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [20:30:00 04/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:30:00 04/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:30:00 04/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:30:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:30:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:30:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:30:00 04/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 502 u1: ml/B st: NotStopd t0: [20:30:00 04/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:30:00 04/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 175 u1: ml/B st: NotStopd t0: [20:30:00 04/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:30:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:30:00 04/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [21:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [21:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [21:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [21:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [21:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [21:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [21:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [21:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [22:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 04/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 04/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 04/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [22:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 04/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 04/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 04/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 04/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 04/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [22:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [22:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [22:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [22:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 65 vu: ml t0: [22:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [22:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 04/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [22:00:00 04/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 04/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [22:00:00 04/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 04/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [22:00:00 04/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 04/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:00:00 04/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [22:00:00 04/08/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [22:00:00 04/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [22:00:00 04/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [23:00:00 04/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 04/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 04/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 04/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 04/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [23:00:00 04/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 04/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 04/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [23:00:00 04/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 04/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [23:00:00 04/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [23:00:00 04/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [23:00:00 04/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [23:00:00 04/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [23:00:00 04/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 04/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 04/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 05/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 05/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [00:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [00:00:00 05/08/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [00:00:00 05/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [00:00:00 05/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [00:00:00 05/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 05/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [00:00:00 05/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [00:00:00 05/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 05/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [00:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [00:00:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [00:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 05/08/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [00:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 05/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [00:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [00:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [00:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [00:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 05/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 108 rs: Manual st: NotStopd
t0: [00:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml nb: 1 t0: [00:00:00 05/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml st: Stopped t0: [00:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [00:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml nb: 1 t0: [00:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml nb: 1 t0: [00:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [00:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml nb: 1
t0: [00:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:35:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:35:00 05/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [00:35:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:35:00 05/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 18cm v2: Lip st: NotStopd t0: [00:35:00 05/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:35:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:35:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [00:35:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:35:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:35:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:35:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:35:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:35:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:35:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.7 u1: L/min st: NotStopd t0: [00:35:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:35:00 05/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 30 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:35:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [00:35:00 05/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [00:35:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [00:35:00 05/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:35:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:35:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:35:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 499 u1: ml/B st: NotStopd t0: [00:35:00 05/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:35:00 05/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [00:35:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:35:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:35:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:35:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:35:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:35:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:35:00 05/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 st: D/C'd
t0: [01:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [01:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [01:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [01:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [01:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [01:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [01:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [01:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 05/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 38 cv: 38 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 78 cv: 2562.44 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 98 cv: 3042.44 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 20 cv: 420 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1495 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 38 cv: 1547.44 ap: none t0: [23:00:00 05/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 60 cv: 1495 ap: none t0: [23:00:00 05/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 38 cv: 5593.2 ap: carryForward
t0: [00:00:00 05/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [02:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [02:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [02:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 05/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [02:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [02:00:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [02:00:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [02:00:00 05/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [02:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [02:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [02:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [02:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [02:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [02:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [02:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [02:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [02:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [02:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [02:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [02:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml t0: [03:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [03:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [03:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [03:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [03:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [02:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:57:00 05/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 133 u1: mmHg rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd
t0: [02:57:00 05/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.9 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:57:00 05/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd
t0: [02:34:00 05/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Differential-Basos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Differential-Eos Hematology el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Differential-Lymphs Hematology el: 0 cu: CSRU cg: 3161 v1: 9.6 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Differential-Monos Hematology el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Differential-Polys Hematology el: 0 cu: CSRU cg: 3161 v1: 86.1 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.4 u1: % rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.85 u1: /mic l rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.3 rs: Final st: NotStopd
t0: [02:34:00 05/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [02:34:00 05/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [04:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Other Remarks st: NotStopd t0: [04:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 05/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 05/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 18cm v2: Lip st: NotStopd t0: [04:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Altered LOC st: NotStopd t0: [04:00:00 05/08/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [04:00:00 05/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [04:00:00 05/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [04:00:00 05/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 05/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [04:00:00 05/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [04:00:00 05/08/2016] id: Extubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 05/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [04:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 05/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 05/08/2016] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [04:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [04:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [04:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [04:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Heel, Left st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [04:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 05/08/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: C Surg RN st: NotStopd t0: [04:00:00 05/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 05/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [04:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [04:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 05/08/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [04:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [04:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [04:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [04:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [04:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [04:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [04:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [04:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [04:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 05/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [04:00:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:00:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [04:00:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.8 u1: L/min st: NotStopd t0: [04:00:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 05/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [04:00:00 05/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 05/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 05/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [05:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [05:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [05:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 10 vu: ml t0: [05:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [05:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [05:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 05/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [06:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [06:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [06:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [06:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [06:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [06:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 25 vu: ml t0: [06:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 2 vu: ml
t0: [06:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 05/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 83.0769 u1: units st: NotStopd t0: [06:00:00 05/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 83.0769 u1: units st: NotStopd t0: [06:00:00 05/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [06:00:00 05/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.325 u1: L st: NotStopd t0: [06:15:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:15:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [06:15:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [06:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 05/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 05/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 90 rs: Manual st: NotStopd t0: [07:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [07:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [07:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [07:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [07:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [07:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 05/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [07:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [07:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Heel, Left st: NotStopd t0: [07:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [07:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [07:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [07:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [07:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [07:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [07:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [06:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [09:00:00 06/08/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Midazolam HCl v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [07:47:00 05/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [07:47:00 05/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd
t0: [08:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [08:00:00 05/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [08:00:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 15 t0: [08:00:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [08:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [08:00:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [08:00:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 05/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [08:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Rhonchi st: NotStopd t0: [08:00:00 05/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd t0: [08:00:00 05/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [08:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [08:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [08:00:00 05/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [07:47:00 05/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [08:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 148 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [08:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [08:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [08:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [08:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml t0: [08:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [08:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 04/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: 3161 u1: kg st: NotStopd t0: [08:02:00 05/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 280 u1: mmHg rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [08:02:00 05/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.05 rs: Final st: NotStopd t0: [08:02:00 05/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.6 rs: Final st: NotStopd t0: [08:30:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [08:00:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 70 vu: ml t0: [08:00:00 05/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml
tf: [09:00:00 06/08/2016] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate v1: 2500 u1: mcg m2: D5W v2: 250 u2: ml
t0: [08:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [08:00:00 05/08/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Change in Vitals st: NotStopd t0: [08:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 05/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [08:00:00 05/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [08:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 v1: Pink st: NotStopd t0: [08:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Heel, Left st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [08:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 05/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Comp. Immobile st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 05/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 05/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [09:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [09:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [09:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [09:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [09:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [09:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [09:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml t0: [09:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [09:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [10:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 142 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [10:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [10:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [10:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [10:00:00 05/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [10:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [10:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [10:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [10:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [10:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
tf: [08:00:00 07/08/2016] pt: IV Piggyback rt: IV fr: Q48H dn: 0 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [10:00:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [10:00:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [10:00:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [10:00:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 380 u1: ml/B st: NotStopd
t0: [11:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [11:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [11:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [11:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 165 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [11:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [11:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [11:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 5 vu: ml t0: [11:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [11:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml t0: [11:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [11:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:47:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [11:47:00 05/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 62.5 u1: ml/cmH st: NotStopd t0: [11:47:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [11:47:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:47:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 30 t0: [11:47:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [11:47:00 05/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.3 st: NotStopd t0: [11:47:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:47:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:47:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:47:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:47:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [11:47:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 25.6 u1: L/min st: NotStopd t0: [11:47:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:47:00 05/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [11:47:00 05/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:47:00 05/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [11:47:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 39 u1: BPM st: NotStopd t0: [11:47:00 05/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:47:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:47:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 92 u1: % st: NotStopd t0: [11:47:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned st: NotStopd t0: [11:47:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:47:00 05/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:47:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:47:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [11:47:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [11:47:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [11:47:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [11:47:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
tf: [11:00:00 06/08/2016] pt: Unit Dose rt: PO fr: ONCE fs: 12 dn: 1 m1: Captopril v1: 6.25 u1: mg tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Hydralazine HCl v1: 10 u1: mg
t0: [12:00:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.7 u1: torr st: NotStopd
t0: [11:30:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:30:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:30:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [11:30:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:30:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 200 u1: mmHg v2: 102 u2: mmHg st: NotStopd t0: [11:30:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg st: NotStopd t0: [11:30:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:30:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:30:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Change in Vitals st: NotStopd t0: [12:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Very Agitated st: NotStopd t0: [12:00:00 05/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 117 u1: BPM st: NotStopd t0: [12:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [12:00:00 05/08/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:00:00 05/08/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 52.6667 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [12:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 20 vu: ml t0: [12:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [12:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 6.25 vu: ml t0: [12:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [12:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml t0: [12:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [11:30:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [11:30:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.2222 u1: Deg. C st: NotStopd t0: [12:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.2 u1: Deg. F st: NotStopd
id: Nitroglycerine-k el: 300 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 3 cu: CSRU cg: RN ra: 3.9 ru: ml/hr
tf: [12:00:00 06/08/2016] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Haloperidol v1: 15 u1: mg
id: D5W el: 3 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [12:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 05/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [12:00:00 05/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [12:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 v1: Pink st: NotStopd t0: [12:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [12:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 05/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 140 rs: Manual st: NotStopd t0: [12:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Comp. Immobile st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 05/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 05/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [13:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 114 u1: BPM st: NotStopd t0: [13:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [13:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [13:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [13:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [13:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [13:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [13:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [13:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [11:30:00 05/08/2016] tf: [15:00:00 05/08/2016] dt: 210 id: Nitroglycerine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [14:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [14:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [14:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [14:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [14:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [14:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [14:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml t0: [14:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [14:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:46:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:46:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:46:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:46:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd
t0: [13:46:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:46:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [13:46:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [14:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [14:00:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 25 t0: [14:00:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 10 st: NotStopd t0: [14:00:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [14:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [14:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [14:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd
t0: [15:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [15:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [15:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [15:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [15:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [15:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml t0: [15:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [15:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 05/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [15:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:23:00 05/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [15:23:00 05/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [15:23:00 05/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [15:23:00 05/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd
t0: [15:23:00 05/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [15:23:00 05/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [15:39:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:39:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd
tf: [16:00:00 08/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 12.5 u1: mg
t0: [15:15:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:15:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:15:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:15:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:15:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:15:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:15:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [15:15:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:15:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [15:15:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [15:15:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:15:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [15:15:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:15:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:30:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:30:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:30:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:30:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:30:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:30:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:30:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [15:30:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:30:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:30:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [15:30:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:30:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:30:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [15:30:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:45:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:45:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [15:45:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:45:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:45:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:45:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:45:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:45:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [15:45:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:45:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [15:45:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [15:45:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:45:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:45:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:45:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [16:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 38.1111 u1: Deg. C st: NotStopd t0: [16:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:30:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 250 vu: ml t0: [16:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [16:00:00 05/08/2016] tf: [06:00:00 06/08/2016] dt: 840 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 30 vu: ml t0: [16:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [16:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [16:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 55 vu: ml t0: [16:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [15:15:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:15:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:30:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:30:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:45:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [15:45:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:45:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:48:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [16:48:00 05/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [16:48:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:48:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:48:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [16:48:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:48:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:48:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:48:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:48:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:48:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 7 st: NotStopd t0: [16:48:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [16:48:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:48:00 05/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:48:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:48:00 05/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:48:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [16:48:00 05/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:48:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:48:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:48:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [16:48:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:48:00 05/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:48:00 05/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:48:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:48:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:48:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:48:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [16:48:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:48:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [14:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [14:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [14:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [15:23:00 05/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: -1 v1: 7.48 rs: Final st: NotStopd t0: [15:23:00 05/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: -1 v1: 7.48 rs: Final st: NotStopd t0: [16:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 05/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/08/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [16:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [16:00:00 05/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 v1: Rash st: NotStopd t0: [16:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 v1: Open to Air st: NotStopd t0: [16:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 v1: Pink st: NotStopd t0: [16:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Heel, Left st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100.6 u1: Deg. F st: NotStopd t0: [16:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Comp. Immobile st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [16:00:00 05/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 05/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [17:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [17:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [17:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [17:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [17:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 26 vu: ml t0: [17:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [17:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [17:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 65 vu: ml t0: [17:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [17:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [17:53:00 05/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [17:53:00 05/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:53:00 05/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [17:53:00 05/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [17:53:00 05/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 100 u1: mmHg rs: Final st: NotStopd t0: [17:53:00 05/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [18:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [18:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [18:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.6111 u1: Deg. C st: NotStopd t0: [18:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.7 u1: Deg. F st: NotStopd t0: [18:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 40 vu: ml t0: [18:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 50 vu: ml t0: [18:00:00 05/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [18:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 19.5 vu: ml t0: [18:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 7.5 vu: ml t0: [18:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 20 vu: ml t0: [18:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [18:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 1 vu: ml
t0: [18:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU so: D5W vo: 0 v1: 1.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 60 ap: none
t0: [18:00:00 05/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [18:05:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:05:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [18:05:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:05:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [18:05:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:05:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:05:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:05:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [18:05:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:05:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:05:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [18:05:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:05:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:05:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:05:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:05:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [18:05:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:05:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [19:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [19:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [19:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 05/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [19:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [19:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [19:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [19:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [19:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [19:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 25.1875 vu: ml t0: [19:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [19:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [19:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [19:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [19:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip
tf: [17:00:00 08/08/2016] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin v1: 100 u1: mg m2: D5W v2: 250 u2: ml
t0: [19:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [19:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [19:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [19:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [19:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [19:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [19:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [19:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [19:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [19:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 05/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [19:00:00 05/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [19:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [19:00:00 05/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [19:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [19:00:00 05/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [19:00:00 05/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [19:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN st: NotStopd t0: [19:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [19:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [19:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Heel, Left st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [19:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [19:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [19:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [19:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [19:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [19:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [19:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 05/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [19:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [19:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [19:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [19:00:00 05/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 11 u1: number st: NotStopd t0: [19:00:00 05/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 05/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 05/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 05/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 05/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 05/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 05/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 05/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 05/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 05/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 05/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 05/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 05/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 05/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [20:00:00 05/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 05/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 05/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 05/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 05/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 05/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 05/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 05/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 05/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 516 u1: ml/B st: NotStopd t0: [20:00:00 05/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 05/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 05/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 05/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 05/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 05/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 13 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [20:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [20:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 26 vu: ml t0: [20:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [20:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [20:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [20:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [20:00:00 05/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [20:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd
t0: [21:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [21:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [21:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [21:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [21:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 19.5 vu: ml t0: [21:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [21:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [21:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [21:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [21:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [22:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [22:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 19.5 vu: ml t0: [22:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [22:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [22:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [22:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [22:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:00:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [23:00:00 05/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 19.5 vu: ml t0: [23:00:00 05/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [23:00:00 05/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [23:00:00 05/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [23:00:00 05/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [23:00:00 05/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [23:00:00 05/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [23:00:00 05/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [23:15:00 05/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:15:00 05/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [23:15:00 05/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 05/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:15:00 05/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [23:15:00 05/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [23:15:00 05/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [23:15:00 05/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:15:00 05/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:15:00 05/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:15:00 05/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:15:00 05/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [23:15:00 05/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:15:00 05/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [00:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 8.125 vu: ml t0: [00:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [00:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [00:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [00:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [00:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [00:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:00:00 06/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:00:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [00:00:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.2 u1: L/min st: NotStopd t0: [00:00:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [00:00:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [00:00:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 06/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 440 u1: ml/B st: NotStopd t0: [00:00:00 06/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 06/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 06/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 06/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [01:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [01:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [01:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [01:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [01:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [01:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [01:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [01:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [01:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [01:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [01:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [02:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [02:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [02:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [02:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [02:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [02:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [02:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: 3161 pv: 180 cv: 180 ap: none t0: [23:00:00 06/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: 3161 pv: -80.64 cv: -80.64 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: 3161 pv: 69.36 cv: 1556.95 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: 3161 pv: 99.36 cv: 1996.95 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: 3161 pv: 30 cv: 410 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: 3161 pv: 180 cv: 3680 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -80.64 cv: -1683.05 ap: none t0: [23:00:00 06/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: 3161 pv: 180 cv: 3680 ap: none t0: [23:00:00 06/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: 3161 pv: -80.64 cv: 3910.15 ap: carryForward
t0: [02:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [02:13:00 06/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.1091 u1: ml/dl st: NotStopd t0: [02:13:00 06/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [02:13:00 06/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [03:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:31:00 06/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.8 u1: % rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: gm/dl rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 77 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.78 u1: /mic l rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd
t0: [03:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [03:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [03:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 13 vu: ml t0: [03:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [03:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [03:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [03:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [03:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [03:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [03:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [02:31:00 06/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 13 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.3 u1: mg/dl rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.7 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [04:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [04:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [04:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [04:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 6.5 vu: ml t0: [04:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [04:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [04:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [04:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [04:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [19:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [19:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Paralytic Med st: NotStopd t0: [19:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [19:00:00 05/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [19:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 05/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [23:00:00 05/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 05/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 05/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [23:00:00 05/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [23:00:00 05/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [23:00:00 05/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [23:00:00 05/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [23:00:00 05/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [23:00:00 05/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [23:00:00 05/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [23:00:00 05/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [23:00:00 05/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [23:00:00 05/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [23:00:00 05/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [23:00:00 05/08/2016] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [23:00:00 05/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [23:00:00 05/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [23:00:00 05/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [23:00:00 05/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Heel, Left st: NotStopd t0: [23:00:00 05/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [23:00:00 05/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [23:00:00 05/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [23:00:00 05/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [23:00:00 05/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [23:00:00 05/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 05/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 05/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [23:00:00 05/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [23:00:00 05/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 05/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 05/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [23:00:00 05/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [23:00:00 05/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 05/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [23:00:00 05/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 05/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 05/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [23:00:00 05/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 05/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 05/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 05/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 05/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [23:00:00 05/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [23:00:00 05/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [23:00:00 05/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [23:00:00 05/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 05/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 05/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [23:00:00 05/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [23:00:00 05/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [23:00:00 05/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:00:00 05/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 05/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [23:00:00 05/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [23:00:00 05/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [23:00:00 05/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 05/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [23:00:00 05/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 06/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 06/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 06/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 06/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [02:00:00 06/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 06/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 06/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [02:00:00 06/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 06/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 06/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 06/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [04:00:00 06/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 06/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 06/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [03:00:00 06/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [03:00:00 06/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 06/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [03:00:00 06/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [03:00:00 06/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [03:00:00 06/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: ICU Environment st: NotStopd t0: [03:00:00 06/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [03:00:00 06/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 5 u1: points st: NotStopd t0: [03:00:00 06/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 06/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [03:00:00 06/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [03:00:00 06/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [03:00:00 06/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [03:00:00 06/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [03:00:00 06/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [03:00:00 06/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [03:00:00 06/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [03:00:00 06/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [03:00:00 06/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [03:00:00 06/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [03:00:00 06/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [03:00:00 06/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 06/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 06/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [03:00:00 06/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [03:00:00 06/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [03:00:00 06/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 06/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 06/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 06/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [03:00:00 06/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [03:00:00 06/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [03:00:00 06/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [03:00:00 06/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 06/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 06/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [03:00:00 06/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [03:00:00 06/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [03:00:00 06/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 06/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [03:00:00 06/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [03:00:00 06/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [03:00:00 06/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 06/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [03:00:00 06/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [03:00:00 06/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [03:00:00 06/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [03:00:00 06/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 06/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [04:00:00 06/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [04:00:00 06/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:00:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [04:00:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.6 u1: L/min st: NotStopd t0: [04:00:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 06/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 465 u1: ml/B st: NotStopd t0: [04:00:00 06/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 06/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 06/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 06/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [02:13:00 06/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 1.09 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.5 rs: Final st: NotStopd t0: [02:31:00 06/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.2 rs: Final st: NotStopd
t0: [04:00:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [04:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:30:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [05:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [05:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [05:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [05:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [05:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 6.5 vu: ml t0: [05:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [05:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [05:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [05:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [05:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [05:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [05:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [05:00:00 06/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 06/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [05:00:00 06/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd
t0: [06:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 50 vu: ml t0: [06:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [06:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [06:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 20 vu: ml t0: [06:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [06:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [06:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 06/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 60.8108 u1: units st: NotStopd t0: [06:00:00 06/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 60.8108 u1: units st: NotStopd t0: [06:00:00 06/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [06:00:00 06/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.296 u1: L st: NotStopd
t0: [06:15:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:15:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [06:15:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:15:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:15:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:15:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:15:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:15:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:15:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:15:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:15:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:15:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:15:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [06:15:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:15:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [07:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 176 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [07:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg st: NotStopd t0: [07:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/08/2016] tf: [08:00:00 06/08/2016] dt: 60 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 1.625 vu: ml t0: [07:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [07:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [07:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [07:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [07:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 157 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [08:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [08:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/08/2016] id: Neosynephrine-k el: 5 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 06/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [08:00:00 06/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [08:00:00 06/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [08:00:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [08:00:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 06/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 06/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [08:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 06/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 06/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [08:00:00 06/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 06/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 06/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 06/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 06/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [08:00:00 06/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [08:00:00 06/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [08:00:00 06/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Coarse st: NotStopd t0: [08:00:00 06/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd
t0: [08:00:00 06/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 06/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [08:00:00 06/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 06/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 06/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 06/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [08:00:00 06/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.4 u1: Deg. F st: NotStopd
t0: [08:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [08:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [08:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml t0: [08:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [00:00:00 06/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [00:00:00 06/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 06/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 06/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [07:00:00 06/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [07:00:00 06/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [07:00:00 06/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 06/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 06/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 06/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 06/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [08:00:00 06/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 06/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 06/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 06/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 06/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 06/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 06/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [08:00:00 06/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [08:00:00 06/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [08:00:00 06/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 06/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 06/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 06/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 06/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 06/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 06/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 06/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 06/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 06/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 06/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 06/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 06/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 06/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 06/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 06/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 06/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 06/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [08:00:00 06/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [09:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [09:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [09:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [09:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [09:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [09:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [09:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [09:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:53:00 06/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [08:53:00 06/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd
t0: [08:54:00 06/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
id: Propofol el: 300 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ra: 3.12 ru: ml/hr
t0: [10:00:00 06/08/2016] id: OR Crystalloid OR Intake el: 2 cu: CSRU cg: -1 ai: 124 vo: 0 st: D/C'd t0: [10:00:00 06/08/2016] id: Packed RBC's IV Infusions el: 3 cu: CSRU cg: -1 ai: -1 vo: 0 st: D/C'd t0: [10:00:00 06/08/2016] id: Fresh Frozen Plasma IV Infusions el: 2 cu: CSRU cg: -1 ai: -1 vo: 0 st: D/C'd
tf: [17:00:00 08/08/2016] pt: Unit Dose rt: IV DRIP fr: INFUSION m1: Propofol (Generic) v1: 1000 u1: mg tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Ascorbic Acid v1: 500 u1: mg tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Polysaccharide Iron Complex v1: 150 u1: mg
id: N/A el: 3 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [10:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [10:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 176 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [10:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg st: NotStopd t0: [10:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 40 u1: BPM st: NotStopd t0: [10:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 0 vu: ml t0: [10:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [10:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 7.5 vu: ml t0: [10:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [10:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 1 vu: ml
t0: [10:00:00 06/08/2016] id: Fentanyl el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 06/08/2016] id: Midazolam el: 2 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [10:00:00 06/08/2016] tf: [15:27:00 17/08/2016] dt: 16167 id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:15:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:15:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [10:15:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:15:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:15:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:15:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:15:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:15:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 180 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [10:15:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [10:15:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:15:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 46 u1: BPM st: NotStopd t0: [10:15:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 12.5 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [11:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 178 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [11:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [11:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 36 u1: BPM st: NotStopd t0: [11:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [08:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [09:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [10:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml t0: [11:00:00 06/08/2016] tf: [18:00:00 08/08/2016] dt: 3300 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 3.705 vu: ml t0: [11:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [11:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [11:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 0 vu: ml st: Stopped t0: [11:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [11:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [11:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 06/08/2016] tf: [08:00:00 07/08/2016] dt: 1260 id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:15:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:15:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [11:15:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:15:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:15:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:15:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [11:15:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:15:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:15:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [11:15:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:15:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [11:15:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [11:15:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:15:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:33:00 06/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [11:33:00 06/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [11:33:00 06/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [11:33:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:33:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [11:33:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:33:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:33:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:33:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:33:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:33:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [11:33:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [11:33:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:33:00 06/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:33:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [11:33:00 06/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:33:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:33:00 06/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [11:33:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:33:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [11:33:00 06/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [11:33:00 06/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [11:33:00 06/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:33:00 06/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [11:33:00 06/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [11:33:00 06/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [11:33:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:33:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [12:02:00 06/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [12:02:00 06/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 116 rs: Final st: NotStopd
t0: [09:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 06/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 06/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 06/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 06/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [12:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 06/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 06/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 4.68 vu: ml t0: [12:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [12:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [12:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [12:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [12:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 06/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 06/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [12:00:00 06/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.3 u1: Deg. F st: NotStopd
t0: [12:00:00 06/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 06/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 06/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 06/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 06/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [12:00:00 06/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 06/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 06/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 06/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 06/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 06/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [12:00:00 06/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [12:00:00 06/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [12:00:00 06/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 06/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 06/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 06/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 06/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 06/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Pain st: NotStopd t0: [12:00:00 06/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 06/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 06/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [12:00:00 06/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 06/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 06/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 06/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 06/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 06/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 06/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 06/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 06/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [13:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [13:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [13:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [13:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [13:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [14:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [14:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [14:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 4.68 vu: ml t0: [13:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [13:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [13:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [13:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml t0: [14:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [14:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:42:00 06/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [14:42:00 06/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [14:42:00 06/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [14:42:00 06/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [14:42:00 06/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 147 u1: mmHg rs: Final st: NotStopd t0: [14:42:00 06/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [12:00:00 06/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 06/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [15:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [15:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [15:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [15:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [15:00:00 06/08/2016] tf: [17:00:00 08/08/2016] dt: 3000 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [15:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [15:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [15:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 06/08/2016] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [12:00:00 06/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [12:00:00 06/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [16:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 176 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg st: NotStopd t0: [16:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 06/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 06/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [16:00:00 06/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [16:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [16:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [16:00:00 06/08/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: RN ai: 274 vo: 30 vu: ml t0: [16:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [16:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [16:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [16:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [16:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:18:00 06/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [16:18:00 06/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [16:18:00 06/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:18:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:18:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [16:18:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:18:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:18:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:18:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:18:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:18:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [16:18:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [16:18:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:18:00 06/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:18:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [16:18:00 06/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:18:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [16:18:00 06/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:18:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:18:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [16:18:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [16:18:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:18:00 06/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:18:00 06/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:18:00 06/08/2016] id: Trach Care el: 0 cu: CSRU cg: RRT v1: Done st: NotStopd t0: [16:18:00 06/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:18:00 06/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:18:00 06/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:18:00 06/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [16:18:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:18:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [23:00:00 06/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RRT cv: 30 ap: none
t0: [12:00:00 06/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 7 u1: points st: NotStopd t0: [12:00:00 06/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 06/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 06/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 06/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 06/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 06/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable st: NotStopd t0: [16:00:00 06/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 06/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 06/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 06/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 06/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 06/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 06/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 06/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 06/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 06/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 06/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 06/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [16:00:00 06/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [16:00:00 06/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 06/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Red st: NotStopd t0: [16:00:00 06/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 06/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 06/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 06/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 06/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 06/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 06/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 06/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 06/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 06/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 06/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 06/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 06/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [16:00:00 06/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 06/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 06/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 06/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 06/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 06/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 06/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 06/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [16:00:00 06/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [16:00:00 06/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 06/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 06/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [17:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [17:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [17:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [17:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [17:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [17:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [17:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [18:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [18:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [18:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [18:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [18:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [18:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [18:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:28:00 06/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:28:00 06/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd
t0: [18:28:00 06/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [18:31:00 06/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd t0: [18:31:00 06/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.2 u1: % rs: Final st: NotStopd t0: [18:31:00 06/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [18:31:00 06/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 87 rs: Final st: NotStopd t0: [18:31:00 06/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.94 u1: /mic l rs: Final st: NotStopd t0: [18:31:00 06/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd
t0: [19:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [19:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [19:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [19:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [19:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [19:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [19:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [19:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [19:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [19:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [20:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [20:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [20:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [20:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [20:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [20:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [20:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [20:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [20:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [20:00:00 06/08/2016] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 06/08/2016] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 06/08/2016] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 06/08/2016] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 06/08/2016] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 06/08/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [20:00:00 06/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 06/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 06/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 06/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 06/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 06/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 06/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 06/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 06/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 06/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [20:00:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [20:00:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 06/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 06/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [20:00:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [20:00:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 06/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 06/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [21:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [21:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 159 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [21:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [21:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [21:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:48:00 06/08/2016] id: BSA el: 1033 cu: CSRU cg: -1 v1: 1.59967 u1: m2 t0: [20:48:00 06/08/2016] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 52 u1: kg t0: [20:48:00 06/08/2016] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Iodine t0: [20:48:00 06/08/2016] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: S/P AAA t0: [20:48:00 06/08/2016] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [20:48:00 06/08/2016] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 73 u1: inches t0: [20:48:00 06/08/2016] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [20:48:00 06/08/2016] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: W t0: [20:48:00 06/08/2016] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [20:48:00 06/08/2016] id: Allergy 2 el: 1021 cu: CSRU cg: -1 v1: Heparin Agents t0: [20:48:00 06/08/2016] id: Ext el: 1010 cu: CSRU cg: -1 t0: [20:48:00 06/08/2016] id: PIN el: 1012 cu: CSRU cg: -1 t0: [20:48:00 06/08/2016] id: Allergy 3 el: 1022 cu: CSRU cg: -1
tf: [12:00:00 08/08/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Tobramycin Sulfate v1: 60 u1: mg m2: D5W v2: 100 u2: ml
t0: [21:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 6.24 vu: ml t0: [21:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [21:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [21:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [21:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [21:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [21:12:00 06/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [21:12:00 06/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.3 st: NotStopd t0: [21:12:00 06/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.85 u1: L/min st: NotStopd t0: [21:12:00 06/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [21:12:00 06/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [21:12:00 06/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [21:12:00 06/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [21:12:00 06/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [21:12:00 06/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [21:12:00 06/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:12:00 06/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 570 u1: ml/B st: NotStopd t0: [21:12:00 06/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:12:00 06/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CMV st: NotStopd t0: [21:12:00 06/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [22:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [22:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [22:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [22:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [22:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [22:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [22:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 06/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [22:00:00 06/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [22:00:00 06/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd
t0: [07:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [08:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [09:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [10:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [11:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [12:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [13:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [14:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [16:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [17:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [19:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml
t0: [23:00:00 06/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 06/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 06/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 06/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [23:00:00 06/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 06/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 06/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 06/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 06/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 06/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 06/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [23:00:00 06/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [23:00:00 06/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [23:00:00 06/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [23:00:00 06/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [23:00:00 06/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [23:00:00 06/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.9 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 06/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 06/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 06/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 06/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 06/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 6 u1: points st: NotStopd t0: [20:00:00 06/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 06/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 06/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 06/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 06/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 06/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 06/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 06/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 06/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 06/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 06/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 06/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 06/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 06/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 06/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 06/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 06/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 06/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 06/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 06/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 06/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 06/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [00:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [00:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [00:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [00:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [00:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [00:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [00:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [00:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [00:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 30 vu: ml t0: [00:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [00:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [00:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 07/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Large
t0: [23:00:00 07/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [23:00:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [00:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [22:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [22:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 06/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 06/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [00:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [01:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [01:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [01:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [01:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [01:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [01:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [01:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [01:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [01:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:19:00 07/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [01:19:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:19:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [01:19:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:19:00 07/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.3 st: NotStopd t0: [01:19:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:19:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:19:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:19:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [01:19:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [01:19:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [01:19:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [01:19:00 07/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [01:19:00 07/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [01:19:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [01:19:00 07/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [01:19:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:19:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [01:19:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [01:19:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [01:19:00 07/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [01:19:00 07/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:19:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CMV st: NotStopd t0: [01:19:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [01:19:00 07/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [22:00:00 06/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 250 vu: ml t0: [02:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [02:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [02:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [02:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [02:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml t0: [02:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [02:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [02:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [02:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:12:00 07/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 161 u1: mmHg rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.52 rs: Final st: NotStopd
t0: [02:12:00 07/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5872 u1: ml/dl st: NotStopd t0: [02:12:00 07/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [02:12:00 07/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [02:14:00 07/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.1 rs: Final st: NotStopd
t0: [02:14:00 07/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [03:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [03:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [03:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 153 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [03:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [03:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [03:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [03:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [03:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [03:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [03:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [03:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [04:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [04:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [04:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [04:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [04:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [04:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [04:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [04:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [05:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [05:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [05:00:00 07/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [05:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [05:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [05:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [05:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml t0: [05:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [05:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [05:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [05:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [05:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:37:00 07/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [05:37:00 07/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [05:37:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:37:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [05:37:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:37:00 07/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.3 st: NotStopd t0: [05:37:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [05:37:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [05:37:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:37:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [05:37:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [05:37:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.93 u1: L/min st: NotStopd t0: [05:37:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [05:37:00 07/08/2016] id: Peak Flow el: 0 cu: CSRU cg: RRT u1: L/m st: NotStopd t0: [05:37:00 07/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [05:37:00 07/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [05:37:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [05:37:00 07/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [05:37:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:37:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [05:37:00 07/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 43 u1: BPM st: NotStopd t0: [05:37:00 07/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.2 u1: L st: NotStopd t0: [05:37:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [05:37:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [05:37:00 07/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [05:37:00 07/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:37:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CMV st: NotStopd t0: [05:37:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [05:37:00 07/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:30:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:30:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:30:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:30:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:30:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [05:30:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:30:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [05:30:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [05:30:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:30:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:30:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:30:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:14:00 07/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: RN v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.5 rs: Final st: NotStopd t0: [02:14:00 07/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [20:00:00 06/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 06/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [05:30:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd
t0: [01:00:00 07/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vu: ml
t0: [00:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 07/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Golden v2: Loose st: NotStopd t0: [00:00:00 07/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 07/08/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [04:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 06/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 06/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 06/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 06/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 06/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [21:00:00 06/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [22:00:00 06/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 06/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: RN v1: Soap & H20 st: NotStopd t0: [00:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [00:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 07/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 07/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 07/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 07/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 07/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 07/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 07/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [05:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [05:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [05:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [05:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [05:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [05:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [05:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [05:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [05:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [05:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [05:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [05:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [05:00:00 07/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [05:00:00 07/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd
t0: [06:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [06:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [06:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 10.92 vu: ml t0: [06:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml t0: [06:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml t0: [06:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [06:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [06:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml
t0: [06:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:00:00 07/08/2016] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [06:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [06:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [06:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [06:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [06:00:00 07/08/2016] id: BSA - English el: 0 cu: CSRU cg: RN v1: 1.10038 u1: m2 st: NotStopd t0: [06:00:00 07/08/2016] id: BSA - Metric el: 0 cu: CSRU cg: RN v1: 1.28807 u1: m2 st: NotStopd t0: [06:00:00 07/08/2016] id: Weight Change el: 0 cu: CSRU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 07/08/2016] id: Daily Weight el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd
t0: [08:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [08:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [08:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [08:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [08:00:00 07/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [08:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 07/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 07/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [08:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 07/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 07/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 07/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [08:00:00 07/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 07/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [08:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [08:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 07/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [08:00:00 07/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 07/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [08:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [08:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.0556 u1: Deg. C st: NotStopd t0: [08:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.9 u1: Deg. F st: NotStopd t0: [08:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 07/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 07/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd t0: [08:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 07/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [08:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 24.96 vu: ml t0: [08:00:00 07/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: RN ai: 199 vo: 0 vu: ml st: Stopped t0: [08:00:00 07/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 255 vo: 0 vu: ml st: Stopped t0: [08:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 80 vu: ml t0: [08:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [08:00:00 07/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: RN ai: 210 vo: 0 vu: ml st: Stopped
t0: [08:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [08:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 07/08/2016] id: Neg Insp Force(>-25) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 07/08/2016] id: Vital Cap (>1.0)L el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [08:00:00 07/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 40 vu: ml
t0: [08:00:00 07/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [08:00:00 07/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [08:00:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [08:00:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:00:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [08:00:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 07/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [08:00:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [08:00:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 07/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [08:00:00 07/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [08:00:00 07/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [08:00:00 07/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [08:00:00 07/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [08:00:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [09:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [09:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [09:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [09:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [09:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [09:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 12.48 vu: ml t0: [09:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [09:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 215 vu: ml
t0: [09:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [09:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [09:50:00 07/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [09:50:00 07/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.4 rs: Final st: NotStopd
t0: [10:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [10:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [10:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [10:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [10:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 70 vu: ml t0: [10:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [10:00:00 07/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 12.48 vu: ml t0: [10:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [10:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [10:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [11:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [11:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [11:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [11:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [11:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [11:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [11:00:00 07/08/2016] tf: [13:00:00 07/08/2016] dt: 120 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 121 vo: 9 vu: ml t0: [11:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 12.48 vu: ml t0: [11:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [11:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [11:00:00 07/08/2016] tf: [13:00:00 07/08/2016] dt: 120 id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:30:00 07/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [11:30:00 07/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [11:30:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:30:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [11:30:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [11:30:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [11:30:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:30:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [11:30:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:30:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [11:30:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [11:30:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [11:30:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [11:30:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:30:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [11:30:00 07/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [11:30:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:30:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:30:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [11:30:00 07/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [11:30:00 07/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [11:30:00 07/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [11:30:00 07/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [11:30:00 07/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [11:30:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:30:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [11:30:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [11:30:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [12:00:00 07/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [12:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [12:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Hemodyn Issue st: NotStopd t0: [12:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [12:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [12:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [12:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [12:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [12:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [12:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [12:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [12:00:00 07/08/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 121 vo: 7.8 vu: ml t0: [12:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 15.6 vu: ml t0: [12:00:00 07/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 20 vu: ml t0: [12:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [12:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 275 vu: ml
t0: [12:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 07/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [10:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [12:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 07/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [12:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 07/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [12:00:00 07/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 07/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 07/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [12:00:00 07/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [12:00:00 07/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 07/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 07/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 07/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [12:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 07/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [12:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [12:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 07/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 07/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [12:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 07/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 07/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [13:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [13:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [13:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [13:00:00 07/08/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 3 cu: CSRU cg: RN ai: 121 vo: 0 vu: ml st: Stopped t0: [13:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 12.48 vu: ml t0: [13:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [13:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [13:00:00 07/08/2016] id: Nitroglycerine-k el: 3 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [13:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [13:38:00 07/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [13:38:00 07/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [14:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [14:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [14:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [14:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 12.48 vu: ml t0: [14:00:00 07/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 15 vu: ml t0: [14:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [14:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 07/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 75 ap: none
t0: [14:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [15:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [15:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [15:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [15:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [15:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 10.92 vu: ml t0: [15:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [15:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [15:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 35 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:00:00 07/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [16:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [16:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Left Femoral st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [16:00:00 07/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [16:00:00 07/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [16:00:00 07/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 07/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 07/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 07/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 07/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 07/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [16:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [16:00:00 07/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.1667 u1: Deg. C st: NotStopd t0: [16:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.1 u1: Deg. F st: NotStopd t0: [16:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [16:00:00 07/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 10.92 vu: ml t0: [16:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [16:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [16:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [14:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [14:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [14:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [14:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [14:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Orientation st: NotStopd t0: [16:00:00 07/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 07/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [16:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 07/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [16:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 07/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [16:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 07/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 07/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [16:00:00 07/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [17:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [17:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [17:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [17:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 5 u1: BPM st: NotStopd t0: [17:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [17:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [17:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [17:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [17:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 07/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -60.64 cv: -60.64 ap: none t0: [23:00:00 07/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 19.36 cv: 1634.2 ap: none t0: [23:00:00 07/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 59.36 cv: 2659.2 ap: none t0: [23:00:00 07/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 950 ap: none t0: [23:00:00 07/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 4740 ap: none t0: [23:00:00 07/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -60.64 cv: -2080.8 ap: carryForward t0: [23:00:00 07/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 4740 ap: carryForward t0: [23:00:00 07/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -60.64 cv: 1829.35 ap: carryForward
t0: [17:41:00 07/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [17:41:00 07/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:41:00 07/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [17:41:00 07/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [17:41:00 07/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [17:41:00 07/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [18:00:00 07/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [18:00:00 07/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [18:00:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [18:00:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [18:00:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [18:00:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [18:00:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [18:00:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [18:00:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [18:00:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [18:00:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [18:00:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [18:00:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [18:00:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [18:00:00 07/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [18:00:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [18:00:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [18:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [18:00:00 07/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 275 u1: ml/B st: NotStopd t0: [18:00:00 07/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [18:00:00 07/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [18:00:00 07/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [18:00:00 07/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [18:00:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [18:00:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [18:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 07/08/2016] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [18:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [18:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [18:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 99 rs: Manual st: NotStopd
t0: [18:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [18:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [18:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [18:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [18:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [19:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [19:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [19:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [19:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [19:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [19:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:00:00 07/08/2016] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [19:00:00 07/08/2016] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [16:00:00 07/08/2016] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd
t0: [20:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [20:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [20:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [20:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [20:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [20:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [20:00:00 07/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 07/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 07/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 07/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [20:00:00 07/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 07/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 07/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 07/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 07/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 07/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 07/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 07/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.75 u1: L/min st: NotStopd t0: [20:00:00 07/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 07/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 07/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 07/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [20:00:00 07/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 07/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 07/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 07/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 07/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 07/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 07/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 07/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 07/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 07/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 07/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 07/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 07/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 07/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 07/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [20:00:00 07/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 07/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 07/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 07/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 07/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [20:00:00 07/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [20:00:00 07/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 07/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd
t0: [20:00:00 07/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 07/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 07/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 07/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 07/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 07/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 07/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 07/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: RN v1: Rash st: NotStopd t0: [20:00:00 07/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 07/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 07/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 07/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 07/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 07/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 07/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 07/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 07/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 07/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 07/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 07/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [20:00:00 07/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd
t0: [20:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 07/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 07/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Dampened st: NotStopd t0: [20:00:00 07/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 07/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 07/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 07/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 07/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 07/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 07/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 07/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [20:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [20:00:00 07/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd
t0: [21:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [21:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [21:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [21:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [21:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [21:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [21:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [21:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [22:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [22:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 07/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [22:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [22:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [22:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 07/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 07/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 07/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 07/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 07/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 07/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 07/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 07/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [23:00:00 07/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [23:00:00 07/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 07/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [23:00:00 07/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:00:00 07/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 07/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 07/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [23:00:00 07/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [23:00:00 07/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 07/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [21:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [23:00:00 07/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 07/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 07/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [00:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [00:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [00:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [00:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [00:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [00:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:00:00 08/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [00:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.18 u1: L/min st: NotStopd t0: [00:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [00:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 08/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [00:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 08/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 08/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [01:00:00 08/08/2016] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 3 cu: CSRU cg: -1 ai: 121 vo: 0 st: D/C'd t0: [01:00:00 08/08/2016] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 5 cu: CSRU cg: -1 ai: 199 vo: 0 st: D/C'd t0: [01:00:00 08/08/2016] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 255 vo: 0 st: D/C'd t0: [01:00:00 08/08/2016] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CSRU cg: -1 ai: 210 vo: 0 st: D/C'd
t0: [01:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [01:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [01:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [01:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [01:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [01:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [01:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [01:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [01:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 07/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vu: ml
t0: [20:00:00 07/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 08/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 08/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [00:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [22:00:00 07/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 07/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 07/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 07/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 07/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 08/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 08/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [00:00:00 08/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [00:00:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 08/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [02:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [02:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [02:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 162 u1: mmHg st: NotStopd t0: [02:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [02:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [02:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [02:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [02:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:05:00 08/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.0841 u1: ml/dl st: NotStopd t0: [02:05:00 08/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 154 u1: mmHg rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [02:05:00 08/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:00:00 08/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [02:00:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [02:00:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd
t0: [02:07:00 08/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27 u1: % rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: /mic l rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 4.9 rs: Final st: NotStopd
t0: [02:07:00 08/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8 u1: mg/dl rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 126 rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 u1: mEq/L rs: Final st: NotStopd t0: [02:07:00 08/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
t0: [03:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [03:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [03:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [03:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [03:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [03:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [03:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [03:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:07:00 08/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd
t0: [03:00:00 08/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [04:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [04:00:00 08/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [04:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.96 u1: L/min st: NotStopd t0: [04:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 08/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 08/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [04:00:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 08/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [04:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [04:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [04:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [04:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [04:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [02:07:00 08/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4 rs: Final st: NotStopd
t0: [05:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [05:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [05:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [05:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [05:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [05:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 9.36 vu: ml t0: [05:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 40 vu: ml t0: [05:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [05:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [02:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [04:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 08/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 08/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Stimul st: NotStopd t0: [04:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [04:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [04:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 08/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [04:00:00 08/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 08/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [04:00:00 08/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 08/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [06:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [06:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [06:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.1 u1: L/min st: NotStopd t0: [06:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [06:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [06:00:00 08/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT u1: units st: NotStopd t0: [06:00:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [06:00:00 08/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 42 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.187 u1: L st: NotStopd t0: [06:00:00 08/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [06:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [06:30:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [06:30:00 08/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [06:30:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [06:30:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:30:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 20 t0: [06:30:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:30:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:30:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:30:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:30:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:30:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:30:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:30:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [06:30:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 8.9 u1: L/min st: NotStopd t0: [06:30:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:30:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [06:30:00 08/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [06:30:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 6 u1: BPM st: NotStopd t0: [06:30:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [06:30:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [06:30:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:30:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [06:30:00 08/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [06:30:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [06:30:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [06:30:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [06:30:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [06:30:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [06:30:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: Assist Control st: NotStopd t0: [06:30:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [06:30:00 08/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [06:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [06:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [06:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [07:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [07:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [07:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [07:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 20 vu: ml t0: [07:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 18.72 vu: ml t0: [07:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 80 vu: ml t0: [07:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [08:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 08/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [08:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: -1 v1: 18 t0: [08:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:3.3 st: NotStopd t0: [08:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [08:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [08:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [08:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [08:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.36 u1: L/min st: NotStopd t0: [08:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [08:00:00 08/08/2016] id: Peak Flow el: 0 cu: CSRU cg: -1 u1: L/m st: NotStopd t0: [08:00:00 08/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 08/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [08:00:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: -1 v1: Yes v2: No st: NotStopd t0: [08:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: -1 v1: #8 st: NotStopd t0: [08:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: -1 v1: Inflated st: NotStopd t0: [08:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: -1 v1: Portex st: NotStopd t0: [08:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd t0: [08:00:00 08/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [08:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [08:00:00 08/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [08:00:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [08:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 9.36 vu: ml t0: [08:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 40 vu: ml t0: [08:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [08:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 08/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 30 cv: 30 ap: none t0: [23:00:00 08/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 60 cv: 1034.56 ap: none t0: [23:00:00 08/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 110 cv: 2334.56 ap: none t0: [23:00:00 08/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1110 ap: none t0: [23:00:00 08/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 80 cv: 3660 ap: none t0: [23:00:00 08/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 30 cv: -1325.44 ap: carryForward t0: [23:00:00 08/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 80 cv: 3660 ap: carryForward t0: [23:00:00 08/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 30 cv: 503.915 ap: carryForward
t0: [08:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd
t0: [09:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 8 u1: . st: NotStopd t0: [09:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd
t0: [09:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd
t0: [08:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 08/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 8 u1: points st: NotStopd t0: [08:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [08:00:00 08/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 08/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 08/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [08:00:00 08/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 08/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Suture/Staples v2: Clean and Dry st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 08/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [08:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [08:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [08:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 08/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 08/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 08/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [09:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [09:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [09:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [09:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [09:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 9.36 vu: ml t0: [09:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [09:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [09:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:30:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [09:30:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [09:30:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [09:30:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [09:30:00 08/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: -1 vu: ml es: Large
t0: [10:00:00 08/08/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [10:00:00 08/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 08/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [10:00:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd
t0: [10:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [10:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [10:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [10:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 48 u1: BPM st: NotStopd t0: [10:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [10:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 9.36 vu: ml t0: [10:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [10:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [10:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:01:00 08/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 96 u1: mmHg rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [11:01:00 08/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3697 u1: ml/dl st: NotStopd t0: [11:01:00 08/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 118 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [11:01:00 08/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [11:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [11:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [11:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [11:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [11:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [11:00:00 08/08/2016] tf: [12:00:00 09/08/2016] dt: 1500 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 40 vu: ml t0: [11:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 9.36 vu: ml t0: [11:00:00 08/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 40 vu: ml t0: [11:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [11:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [11:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 08/08/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 08/08/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 86.6667 u1: mmHg st: NotStopd t0: [11:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [11:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [12:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [12:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [12:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [12:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [12:00:00 08/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [12:00:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [12:00:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [12:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [12:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [12:00:00 08/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 9.36 vu: ml t0: [12:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [12:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [12:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: -1 v1: 18 t0: [12:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [12:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [12:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [12:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [12:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [12:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.59 u1: L/min st: NotStopd t0: [12:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [12:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [12:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [12:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 08/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 497 u1: ml/B st: NotStopd t0: [12:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: -1 v1: Yes v2: No st: NotStopd t0: [12:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: -1 v1: #8 st: NotStopd t0: [12:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: -1 v1: Inflated st: NotStopd t0: [12:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: -1 v1: Portex st: NotStopd t0: [12:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [12:20:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:00:00 08/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd
t0: [13:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [13:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [13:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg st: NotStopd t0: [13:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [13:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [13:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [13:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 08/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [13:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [13:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 7.28 vu: ml t0: [13:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [13:00:00 08/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: -1 vu: ml es: Large t0: [13:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [13:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [13:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [13:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [13:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [13:00:00 08/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [13:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [13:00:00 08/08/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [13:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 10 u1: points st: NotStopd t0: [13:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [13:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [13:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [13:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [13:00:00 08/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [13:00:00 08/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [13:00:00 08/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [13:00:00 08/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [13:00:00 08/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [13:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [13:00:00 08/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [13:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [13:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [13:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [13:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [13:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [13:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [13:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [13:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [13:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [13:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [13:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [13:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [13:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [13:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [13:00:00 08/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [13:00:00 08/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [13:00:00 08/08/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Diaper st: NotStopd t0: [13:00:00 08/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [13:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [13:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [13:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [13:00:00 08/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [13:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [13:30:00 08/08/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:30:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [13:30:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [13:30:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [13:30:00 08/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:30:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [13:30:00 08/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [13:30:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:30:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [13:30:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:30:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [13:30:00 08/08/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [14:00:00 08/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: -1 v1: DONE
t0: [14:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [14:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [14:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [14:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [14:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/08/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: -1 ai: 274 vo: 30 vu: ml t0: [14:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [14:00:00 08/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 4.68 vu: ml t0: [14:00:00 08/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 30 vu: ml t0: [14:00:00 08/08/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: -1 ai: 274 vo: 30 vu: ml t0: [14:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [14:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [14:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 190 ap: none
t0: [15:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [15:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [15:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [15:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: RN ai: 106 vo: 4.68 vu: ml t0: [15:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 209 vo: 50 vu: ml t0: [15:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [15:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd
t0: [15:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:30:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [15:30:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [16:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [16:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 08/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 08/08/2016] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [16:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [16:00:00 08/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 08/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 08/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [16:00:00 08/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 08/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Torso st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 08/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [16:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [16:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [16:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 08/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [16:00:00 08/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Negative st: NotStopd t0: [16:00:00 08/08/2016] id: Stool Management el: 0 cu: CSRU cg: -1 v1: Diaper st: NotStopd t0: [16:00:00 08/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 08/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [16:00:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [16:00:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [16:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [16:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 14 u1: number st: NotStopd t0: [16:00:00 08/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [15:00:00 08/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [16:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [16:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 3.12 vu: ml t0: [16:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 50 vu: ml t0: [16:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [16:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:11:00 08/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3004 u1: ml/dl st: NotStopd t0: [16:11:00 08/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 113 u1: mmHg rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [16:11:00 08/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: -1 v1: 18 t0: [16:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [16:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [16:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [16:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 14 u1: L/min st: NotStopd t0: [16:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [16:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [16:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 08/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 417 u1: ml/B st: NotStopd t0: [16:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: -1 v1: Yes v2: No st: NotStopd t0: [16:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: -1 v1: #8 st: NotStopd t0: [16:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: -1 v1: Inflated st: NotStopd t0: [16:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: -1 v1: Portex st: NotStopd t0: [16:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [16:30:00 08/08/2016] id: Eye Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:30:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [16:30:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:30:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Fair st: NotStopd t0: [16:30:00 08/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:30:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [16:30:00 08/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:30:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:30:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 v1: Multipodus Boots st: NotStopd t0: [16:30:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:30:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [16:30:00 08/08/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [17:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [17:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [17:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [17:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [17:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [17:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 3.12 vu: ml t0: [17:00:00 08/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: -1 vu: ml es: Small t0: [17:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 170 vu: ml
t0: [16:30:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [17:00:00 08/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml
t0: [17:00:00 08/08/2016] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 209 vo: 0 st: D/C'd
tf: [08:00:00 09/08/2016] pt: Unit Dose rt: IV fr: Q1-2H:PRN m1: Midazolam HCl v1: 1 u1: mg tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: Q1H:PRN m1: Morphine Sulfate v1: 1 u1: mg
id: Criticare HN el: 1 cu: CSRU cg: -1 io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [17:00:00 08/08/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [17:00:00 08/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: No/Not Sedated st: NotStopd t0: [17:00:00 08/08/2016] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push st: NotStopd
t0: [17:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [17:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [17:00:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd
t0: [18:00:00 08/08/2016] tf: [18:31:00 10/08/2016] dt: 2911 id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml nb: 1
t0: [18:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 116 u1: BPM st: NotStopd t0: [18:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 169 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [18:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 114 u1: mmHg st: NotStopd t0: [18:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [18:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [18:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 0 vu: ml t0: [18:00:00 08/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 30 vu: ml t0: [18:00:00 08/08/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: -1 ai: 274 vo: 30 vu: ml t0: [18:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [18:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [18:00:00 08/08/2016] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd
tf: [01:00:00 09/08/2016] pt: Unit Dose rt: PO fr: Q8H fs: 2, 10, 18 dn: 3 m1: Lorazepam v1: 1 u1: mg
t0: [18:30:00 08/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Axillary st: NotStopd t0: [18:30:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [18:30:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd
t0: [18:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [18:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [18:30:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:30:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:30:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:30:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:30:00 08/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [18:30:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:30:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd
t0: [19:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 115 u1: BPM st: NotStopd t0: [19:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [19:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 63.2 u1: kg st: NotStopd t0: [19:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 10 vu: ml t0: [19:00:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 0 vu: ml t0: [19:00:00 08/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [19:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 150 vu: ml
t0: [19:00:00 08/08/2016] id: Propofol el: 3 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [19:01:00 08/08/2016] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 3 cu: CSRU cg: -1 ai: 106 vo: 0 st: D/C'd
t0: [20:00:00 08/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 08/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 08/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 08/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 08/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 08/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 08/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 08/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 08/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 08/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 08/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.44 u1: L/min st: NotStopd t0: [20:00:00 08/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 08/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:00:00 08/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [20:00:00 08/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 08/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 08/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [20:00:00 08/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 08/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 200 u1: ml/B st: NotStopd t0: [20:00:00 08/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 08/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 08/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 08/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 08/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 08/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 08/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 08/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 08/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 08/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [20:00:00 08/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 08/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 08/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 08/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 08/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 08/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 08/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 08/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [20:00:00 08/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 08/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 08/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [20:00:00 08/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 08/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [20:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 08/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 08/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 08/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 08/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 08/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 08/08/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Diaper st: NotStopd t0: [20:00:00 08/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [21:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [21:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [21:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 08/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 08/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [21:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 08/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [20:00:00 08/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 08/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd
tf: [06:00:00 12/08/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Tobramycin Sulfate v1: 80 u1: mg m2: D5W v2: 100 u2: ml tf: [22:00:00 14/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 25 u1: mg
t0: [11:00:00 08/08/2016] id: Tobramycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [22:00:00 08/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 08/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 08/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 08/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 08/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 08/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [22:00:00 08/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [22:00:00 08/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [22:00:00 08/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [22:00:00 08/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 08/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 08/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [22:00:00 08/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [22:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [22:00:00 08/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 08/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 08/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [22:00:00 08/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [22:00:00 08/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 08/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 08/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 08/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:00:00 08/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 08/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 08/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 08/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 08/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 08/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [22:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [22:00:00 08/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 08/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 08/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 08/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 08/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 08/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 08/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [22:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 08/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [22:44:00 08/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 125 u1: mmHg rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [22:44:00 08/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.3376 u1: ml/dl st: NotStopd t0: [22:44:00 08/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [22:44:00 08/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 08/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 08/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 08/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 08/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 08/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [23:00:00 08/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 08/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [23:00:00 08/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [23:00:00 08/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [23:00:00 08/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 08/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 08/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 08/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 08/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:00:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:00:00 09/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 38.4615 u1: ml/cmH st: NotStopd t0: [00:00:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:00:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14.6 u1: L/min st: NotStopd t0: [00:00:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 09/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:00:00 09/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 09/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 09/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [00:00:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 09/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 08/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 136 rs: Manual st: NotStopd t0: [00:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [00:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 09/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [00:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 38 u1: BPM st: NotStopd t0: [00:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 09/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [00:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [00:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 08/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 08/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [22:00:00 08/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [23:00:00 08/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 09/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 09/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 09/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Medium t0: [00:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:00:00 09/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [01:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [01:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [01:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [00:00:00 09/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 09/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 09/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 09/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 09/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 09/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [02:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [02:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [02:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [02:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [02:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [02:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [02:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [02:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [03:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [03:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [03:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [03:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [03:16:00 09/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.26 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:36:00 09/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.15 u1: /mic l rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 5.8 rs: Final st: NotStopd t0: [03:16:00 09/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5724 u1: ml/dl st: NotStopd
t0: [02:36:00 09/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 106 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd t0: [02:36:00 09/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd
tf: [08:00:00 09/08/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 1 u1: mg
t0: [04:00:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [04:00:00 09/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.25 u1: ml/cmH st: NotStopd t0: [04:00:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:00:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [04:00:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [04:00:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 09/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 8 u1: . st: NotStopd t0: [04:00:00 09/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 09/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 09/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [04:00:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [04:00:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 09/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [02:00:00 09/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [02:00:00 09/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [02:00:00 09/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [02:00:00 09/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [02:00:00 09/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [02:00:00 09/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [03:00:00 09/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd t0: [04:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 09/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [04:00:00 09/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [04:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 09/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [04:00:00 09/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 09/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [04:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 09/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [04:00:00 09/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [04:00:00 09/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [04:00:00 09/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [23:50:00 08/08/2016] id: Tobramycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd
t0: [02:36:00 09/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.3 rs: Final st: NotStopd t0: [05:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [05:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [05:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [05:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [05:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [05:00:00 09/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [05:54:00 09/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.6065 u1: ml/dl st: NotStopd t0: [05:54:00 09/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [05:54:00 09/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [20:00:00 08/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [06:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [06:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 09/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 09/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [06:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [06:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [06:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [06:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 09/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [06:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 09/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [06:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [06:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 09/08/2016] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 63.2 u1: kg st: NotStopd t0: [06:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [06:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [06:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [06:00:00 09/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [06:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [06:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [04:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 09/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [06:00:00 09/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [06:15:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [06:15:00 09/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 140 u1: units st: NotStopd t0: [06:15:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [06:15:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:15:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [06:15:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:15:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:15:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:15:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:15:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:15:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:15:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:15:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [06:15:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.6 u1: L/min st: NotStopd t0: [06:15:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:15:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [06:15:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [06:15:00 09/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 140 u1: units st: NotStopd t0: [06:15:00 09/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [06:15:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [06:15:00 09/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:15:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:15:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [06:15:00 09/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 42 u1: BPM st: NotStopd t0: [06:15:00 09/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.3 u1: L st: NotStopd t0: [06:15:00 09/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [06:15:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [06:15:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [06:15:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [06:15:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [06:15:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [06:15:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:15:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [07:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [07:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [07:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [07:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [07:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 09/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 09/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -30 cv: -30 ap: none t0: [23:00:00 09/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 20 cv: 790 ap: none t0: [23:00:00 09/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 70 cv: 1990 ap: none t0: [23:00:00 09/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1200 ap: none t0: [23:00:00 09/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 100 cv: 3210 ap: none t0: [23:00:00 09/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -30 cv: -1220 ap: carryForward t0: [23:00:00 09/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 100 cv: 3210 ap: carryForward t0: [23:00:00 09/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -30 cv: -716.085 ap: carryForward
t0: [07:26:00 09/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [07:26:00 09/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [08:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [08:00:00 09/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [08:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [08:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [08:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [08:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 09/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 09/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 09/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:15:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RT v1: 7 v2: 16 st: NotStopd t0: [08:15:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RT v1: No st: NotStopd t0: [08:15:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [08:15:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RT v1: 18 t0: [08:15:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [08:15:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 45 u1: BPM st: NotStopd t0: [08:15:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [08:15:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Tracheostomy st: NotStopd t0: [08:15:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [08:15:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 11 st: NotStopd t0: [08:15:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 4 st: NotStopd t0: [08:15:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [08:15:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 10 u1: L/min st: NotStopd t0: [08:15:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [08:15:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 20 st: NotStopd t0: [08:15:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 12 u1: . st: NotStopd t0: [08:15:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 22 u1: BPM st: NotStopd t0: [08:15:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [08:15:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RT v1: 100 u1: % st: NotStopd t0: [08:15:00 09/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RT v1: Yellow v2: Thick st: NotStopd t0: [08:15:00 09/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RT v1: Suctioned v2: Small st: NotStopd t0: [08:15:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 418 u1: ml/B st: NotStopd t0: [08:15:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RT v1: Yes v2: No st: NotStopd t0: [08:15:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RT v1: #8 st: NotStopd t0: [08:15:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RT v1: Inflated st: NotStopd t0: [08:15:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RT v1: Portex st: NotStopd t0: [08:15:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: CPAP+PS st: NotStopd t0: [08:15:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: Drager st: NotStopd
tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: Q4H:PRN m1: Lorazepam v1: 0.5-1 u1: mg
t0: [09:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [09:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [09:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [09:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [10:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [10:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [10:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [08:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [09:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [09:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [09:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml t0: [10:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [10:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [10:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
tf: [06:00:00 10/08/2016] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Lorazepam v1: 2 u1: mg
t0: [11:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [11:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [11:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [11:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [11:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [11:30:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 11.9 u1: L/min st: NotStopd t0: [11:30:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [11:30:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 10 u1: . st: NotStopd t0: [11:30:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 32 u1: BPM st: NotStopd t0: [11:30:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 380 u1: ml/B st: NotStopd
t0: [11:44:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 12 u1: . st: NotStopd
t0: [08:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [08:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [08:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 09/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: RN v1: Multipodus Boots st: NotStopd t0: [08:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [10:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [12:00:00 09/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 09/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [12:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 8 u1: points st: NotStopd t0: [12:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [12:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [12:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 09/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 09/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [12:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg st: NotStopd t0: [12:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 09/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 09/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [12:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [12:00:00 09/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [12:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [12:16:00 09/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.622 u1: ml/dl st: NotStopd t0: [12:16:00 09/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 169 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 169 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [12:16:00 09/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [13:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 09/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [13:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [13:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [13:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [13:40:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RT v1: 7 v2: 16 st: NotStopd t0: [13:40:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RT v1: No st: NotStopd t0: [13:40:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [13:40:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RT v1: 18 t0: [13:40:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [13:40:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 45 u1: BPM st: NotStopd t0: [13:40:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [13:40:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Tracheostomy st: NotStopd t0: [13:40:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [13:40:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 11 st: NotStopd t0: [13:40:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 4 st: NotStopd t0: [13:40:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [13:40:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 11.3 u1: L/min st: NotStopd t0: [13:40:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [13:40:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 20 st: NotStopd t0: [13:40:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 12 u1: . st: NotStopd t0: [13:40:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 26 u1: BPM st: NotStopd t0: [13:40:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [13:40:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RT v1: 100 u1: % st: NotStopd t0: [13:40:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 400 u1: ml/B st: NotStopd t0: [13:40:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RT v1: Yes v2: No st: NotStopd t0: [13:40:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RT v1: #8 st: NotStopd t0: [13:40:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RT v1: Inflated st: NotStopd t0: [13:40:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RT v1: Portex st: NotStopd t0: [13:40:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: CPAP+PS st: NotStopd t0: [13:40:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: Drager st: NotStopd
t0: [14:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [14:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [14:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [14:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [14:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [15:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 50 u1: BPM st: NotStopd t0: [15:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [15:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [16:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [16:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:49:00 08/08/2016] id: Tobramycin/Peak Drug Level el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [12:03:00 09/08/2016] id: Tobramycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd
t0: [14:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [16:00:00 09/08/2016] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [16:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [16:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg st: NotStopd t0: [16:00:00 09/08/2016] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [16:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [16:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [17:00:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RT v1: 7 v2: 16 st: NotStopd t0: [17:00:00 09/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [17:00:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RT v1: No st: NotStopd t0: [17:00:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RT v1: 18 t0: [17:00:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 45 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RT v1: 1:5 st: NotStopd t0: [17:00:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [17:00:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Tracheostomy st: NotStopd t0: [17:00:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 11 st: NotStopd t0: [17:00:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 4 st: NotStopd t0: [17:00:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 11 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 13.6 u1: L/min st: NotStopd t0: [17:00:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 20 st: NotStopd t0: [17:00:00 09/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RT v1: 26 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RT v1: 23 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 12 u1: . st: NotStopd t0: [17:00:00 09/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RT v1: 28 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 38 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RT v1: 10 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RT v1: 99 u1: % st: NotStopd t0: [17:00:00 09/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RT v1: White v2: Thick st: NotStopd t0: [17:00:00 09/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RT v1: Suctioned v2: Small st: NotStopd t0: [17:00:00 09/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RT v1: 440 u1: ml/B st: NotStopd t0: [17:00:00 09/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 09/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 290 u1: ml/B st: NotStopd t0: [17:00:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RT v1: Yes v2: No st: NotStopd t0: [17:00:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RT v1: #8 st: NotStopd t0: [17:00:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RT v1: Inflated st: NotStopd t0: [17:00:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RT v1: Portex st: NotStopd t0: [17:00:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: SIMV+PS st: NotStopd t0: [17:00:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: Drager st: NotStopd t0: [17:00:00 09/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RT v1: RAMP st: NotStopd
t0: [17:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [17:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [17:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 47 u1: BPM st: NotStopd t0: [17:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:24:00 09/08/2016] id: BSA el: 1033 cu: CSRU cg: -1 v1: 1.59967 u1: m2 t0: [17:24:00 09/08/2016] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 52 u1: kg t0: [17:24:00 09/08/2016] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: Iodine t0: [17:24:00 09/08/2016] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: S/P AAA t0: [17:24:00 09/08/2016] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [17:24:00 09/08/2016] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 73 u1: inches t0: [17:24:00 09/08/2016] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [17:24:00 09/08/2016] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: W t0: [17:24:00 09/08/2016] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [17:24:00 09/08/2016] id: Allergy 2 el: 1021 cu: CSRU cg: -1 v1: Heparin Agents t0: [17:24:00 09/08/2016] id: Ext el: 1010 cu: CSRU cg: -1 t0: [17:24:00 09/08/2016] id: PIN el: 1012 cu: CSRU cg: -1 t0: [17:24:00 09/08/2016] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [18:21:00 09/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.53 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.6406 u1: ml/dl st: NotStopd t0: [18:21:00 09/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.53 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [18:21:00 09/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [17:00:00 09/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [17:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [18:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [18:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 42 u1: BPM st: NotStopd t0: [18:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 110 u1: BPM st: NotStopd t0: [19:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [19:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [19:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 09/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [19:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 30 vu: ml t0: [19:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 150 vu: ml t0: [19:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [16:00:00 09/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 09/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 09/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 09/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd
t0: [20:00:00 09/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 09/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 09/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 09/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 09/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 09/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 09/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 09/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 09/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 09/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [20:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [20:00:00 09/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 09/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 09/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 09/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 09/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 09/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 09/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 09/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [20:00:00 09/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 09/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 09/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [20:00:00 09/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 09/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 09/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [20:00:00 09/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 09/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 47 u1: BPM st: NotStopd t0: [20:00:00 09/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 09/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 09/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 09/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 09/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 09/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Plug st: NotStopd t0: [20:00:00 09/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 09/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 09/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RN v1: Yes v2: No st: NotStopd t0: [20:00:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RN v1: #8 st: NotStopd t0: [20:00:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RN v1: Portex st: NotStopd t0: [20:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 09/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: Drager st: NotStopd t0: [20:00:00 09/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [20:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [20:00:00 09/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [20:20:00 09/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:20:00 09/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [20:20:00 09/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:20:00 09/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:20:00 09/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:20:00 09/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:20:00 09/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:20:00 09/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:20:00 09/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:20:00 09/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:20:00 09/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:20:00 09/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.3 u1: L/min st: NotStopd t0: [20:20:00 09/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:20:00 09/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [20:20:00 09/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [20:20:00 09/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:20:00 09/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:20:00 09/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:20:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:20:00 09/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [20:20:00 09/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:20:00 09/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:20:00 09/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:20:00 09/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:20:00 09/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:20:00 09/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:20:00 09/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:20:00 09/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 09/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 09/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [21:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [21:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [21:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 4 u1: BPM st: NotStopd t0: [21:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [21:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [22:00:00 09/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 09/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 09/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [22:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 09/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 09/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 09/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [22:00:00 09/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [22:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 09/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [22:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [23:00:00 09/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 09/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 09/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 09/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 09/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 09/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [23:00:00 09/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 09/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [23:00:00 09/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [23:00:00 09/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 09/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 09/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 09/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 09/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [23:00:00 09/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 09/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:00:00 10/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [00:00:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:00:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [00:00:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 10/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [00:00:00 10/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 10/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 485 u1: ml/B st: NotStopd t0: [00:00:00 10/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:00:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:00:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:00:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:00:00 10/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 10/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 10/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [00:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [00:00:00 10/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/08/2016] id: IV #1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 23 st: NotStopd t0: [00:00:00 10/08/2016] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 10/08/2016] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 10/08/2016] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 10/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [00:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 10/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 10/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 10/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 10/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 10/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [00:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [00:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [00:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 10/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [00:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [16:24:00 09/08/2016] id: Tobramycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [01:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [01:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [01:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [01:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [01:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 10/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 10/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -60 cv: -60 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 950 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 60 cv: 2620 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 1175 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 2250 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -60 cv: 370 ap: none t0: [23:00:00 10/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 2250 ap: none t0: [23:00:00 10/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -60 cv: -346.085 ap: carryForward
t0: [00:00:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd t0: [00:00:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 119 rs: Manual st: NotStopd t0: [02:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [02:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [02:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [02:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [02:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [02:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [02:15:00 10/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd
t0: [02:15:00 10/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [01:30:00 10/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [03:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [03:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [03:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [03:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [03:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [03:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [01:30:00 10/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.9 rs: Final st: NotStopd
t0: [00:00:00 10/08/2016] tf: [08:00:00 11/08/2016] dt: 1920 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 10/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [03:30:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [03:30:00 10/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [03:30:00 10/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 115.894 u1: units st: NotStopd t0: [03:30:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [03:30:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [03:30:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [03:30:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [03:30:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [03:30:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [03:30:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [03:30:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [03:30:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [03:30:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.6 u1: L/min st: NotStopd t0: [03:30:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [03:30:00 10/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [03:30:00 10/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 115.894 u1: units st: NotStopd t0: [03:30:00 10/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [03:30:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [03:30:00 10/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [03:30:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [03:30:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [03:30:00 10/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [03:30:00 10/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.302 u1: L st: NotStopd t0: [03:30:00 10/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [03:30:00 10/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [03:30:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [03:30:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [03:30:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [03:30:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [03:30:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [03:30:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [03:30:00 10/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:30:00 10/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.1 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 6.1 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.8 u1: % rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.9 u1: gm/dl rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 156 rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.8 u1: /mic l rs: Final st: NotStopd t0: [01:30:00 10/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 6.1 rs: Final st: NotStopd t0: [02:15:00 10/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.2345 u1: ml/dl st: NotStopd
t0: [04:00:00 10/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 10/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 10/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [04:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Brachial st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 14 st: NotStopd t0: [04:00:00 10/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [04:00:00 10/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 10/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 10/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [04:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 10/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 10/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [04:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [04:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [04:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [04:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [04:00:00 10/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [19:00:00 09/08/2016] tf: [04:00:00 12/08/2016] dt: 3420 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 09/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 09/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 09/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 09/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml
t0: [05:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [05:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [05:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [05:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: RN ai: 106 vo: 10 vu: ml t0: [05:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [06:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 100 rs: Manual st: NotStopd t0: [06:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 10/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [06:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 10/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 100 rs: Manual st: NotStopd
t0: [06:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml
t0: [06:01:00 10/08/2016] id: Lactated Ringers IV Infusions el: 4 cu: CSRU cg: -1 ai: 106 vo: 0 st: D/C'd
t0: [06:15:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:15:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:15:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:15:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:15:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:15:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:15:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:15:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [06:15:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:15:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:15:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:15:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [07:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [07:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [07:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [06:45:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [06:45:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [06:45:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:45:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [06:45:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:45:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [06:45:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:45:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:45:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:45:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:45:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [06:45:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [06:45:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.2 u1: L/min st: NotStopd t0: [06:45:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:45:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [06:45:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [06:45:00 10/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [06:45:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [06:45:00 10/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [06:45:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [06:45:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [06:45:00 10/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [06:45:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [06:45:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [06:45:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [06:45:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [06:45:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:45:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [04:00:00 10/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [08:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [08:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [08:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [08:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [08:00:00 10/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Torso st: NotStopd t0: [08:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [08:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [08:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [08:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [08:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [08:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [08:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [09:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [09:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 10/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [09:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [09:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml t0: [09:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml
t0: [09:11:00 10/08/2016] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [08:00:00 10/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [08:00:00 10/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 9 u1: points st: NotStopd t0: [08:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Healed st: NotStopd t0: [08:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 10/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 10/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 10/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 4 mm v2: 5 mm st: NotStopd t0: [08:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 10/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [08:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [09:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [09:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [09:00:00 10/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 10/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [09:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd
t0: [09:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [09:00:00 10/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 100 vu: ml
t0: [09:00:00 10/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 60 vu: ml
t0: [23:00:00 10/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 120 ap: none
t0: [09:22:00 10/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.1587 u1: ml/dl st: NotStopd t0: [09:22:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 152 u1: mmHg rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.22 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [09:44:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RT v1: 7 v2: 16 st: NotStopd t0: [09:44:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RT v1: No st: NotStopd t0: [09:44:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [09:44:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RT v1: 18 t0: [09:44:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [09:44:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RT v1: 45 u1: BPM st: NotStopd t0: [09:44:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RT v1: 8.0 mm st: NotStopd t0: [09:44:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RT v1: Tracheostomy st: NotStopd t0: [09:44:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RT v1: 33.9 u1: Deg. C st: NotStopd t0: [09:44:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RT v1: 7 v2: 11 st: NotStopd t0: [09:44:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RT v1: 4 st: NotStopd t0: [09:44:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RT v1: 8 u1: cmH2O st: NotStopd t0: [09:44:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RT v1: 12.7 u1: L/min st: NotStopd t0: [09:44:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RT v1: 5 u1: cmH2O st: NotStopd t0: [09:44:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RT v1: 20 st: NotStopd t0: [09:44:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RT v1: 12 u1: . st: NotStopd t0: [09:44:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RT v1: 18 u1: BPM st: NotStopd t0: [09:44:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [09:44:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RT v1: 100 u1: % st: NotStopd t0: [09:44:00 10/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RT v1: 577 u1: ml/B st: NotStopd t0: [09:44:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RT v1: Yes v2: No st: NotStopd t0: [09:44:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RT v1: #8 st: NotStopd t0: [09:44:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RT v1: Inflated st: NotStopd t0: [09:44:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RT v1: Portex st: NotStopd t0: [09:44:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RT v1: CPAP+PS st: NotStopd t0: [09:44:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RT v1: Drager st: NotStopd
tf: [15:00:00 17/08/2016] pt: Unit Dose rt: PO fr: QID fs: 10, 14, 18, 22 dn: 4 m1: Lorazepam v1: 1 u1: mg tf: [18:00:00 23/08/2016] pt: IV Piggyback rt: SC fr: 3X/WEEK fs: 10 m1: Epoetin Alfa v1: 5000 u1: UNIT m2: Vial v2: 1 u2: VIAL
t0: [09:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [10:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:00:00 10/08/2016] id: NBP el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [10:00:00 10/08/2016] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 44.6667 u1: mmHg st: NotStopd t0: [10:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [10:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [10:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [10:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:10:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:10:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:10:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:10:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:10:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [10:10:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:10:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [10:10:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [10:10:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:10:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [10:10:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:10:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 60 vu: ml t0: [10:00:00 10/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 30 vu: ml t0: [10:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [10:39:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [10:39:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [10:39:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [10:39:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [10:39:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [10:39:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [10:39:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [10:39:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [10:45:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:45:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:45:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [10:45:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:45:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [10:45:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:45:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [10:45:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [10:45:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:45:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 36 u1: BPM st: NotStopd t0: [10:45:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:45:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [11:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [11:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [11:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vu: ml t0: [11:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [11:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [09:22:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 151 rs: Final st: NotStopd t0: [09:22:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 151 rs: Final st: NotStopd
id: Packed RBC's el: 4 cu: CSRU cg: -1 io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [12:00:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [12:00:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [12:00:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [12:00:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [12:00:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [12:00:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12.8 u1: cmH2O st: NotStopd t0: [12:00:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [12:00:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [12:00:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [12:00:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 34 u1: BPM st: NotStopd t0: [12:00:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 10/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 349 u1: ml/B st: NotStopd t0: [12:00:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [12:00:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [12:00:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 10/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 10/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [12:00:00 10/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 10/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [12:00:00 10/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 6 u1: points st: NotStopd t0: [12:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [12:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [12:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [12:00:00 10/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 10/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Torso st: NotStopd t0: [12:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Healed st: NotStopd t0: [12:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [12:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [12:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [12:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [12:00:00 10/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 10/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 10/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 39 u1: BPM st: NotStopd t0: [12:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 10/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 10/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [12:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [12:00:00 10/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [12:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [12:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/08/2016] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Anxious st: NotStopd t0: [12:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Comp. Immobile st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 10/08/2016] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 10/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml
t0: [12:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd
t0: [12:00:00 10/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml
t0: [12:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [13:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [13:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [13:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [13:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [13:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [13:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [13:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 10/08/2016] tf: [11:00:00 12/08/2016] dt: 2880 id: Packed RBC's IV Infusions el: 4 cu: CSRU cg: -1 ai: -1 vo: 375 vu: ml t0: [13:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [13:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml
t0: [23:00:00 10/08/2016] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: -1 cv: 375 ap: none
t0: [13:34:00 10/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.0719 u1: ml/dl st: NotStopd t0: [13:34:00 10/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 124 u1: mmHg rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [12:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [12:00:00 10/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 10/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 4 mm v2: 5 mm st: NotStopd t0: [14:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [14:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [14:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [14:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [14:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [14:00:00 10/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.5 u1: % rs: Final st: NotStopd
t0: [13:34:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd t0: [13:34:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.3 rs: Final st: NotStopd
t0: [15:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [15:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [15:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [15:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [15:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [15:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [15:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml
t0: [16:00:00 10/08/2016] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: -1 rs: Manual st: NotStopd t0: [14:00:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 rs: Manual st: NotStopd
t0: [08:00:00 10/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [12:00:00 10/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [15:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 10/08/2016] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 10/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 10/08/2016] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [16:00:00 10/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 v1: Orientation st: NotStopd t0: [16:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 10/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 10/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 10/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: -1 v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: -1 v1: Tube Feeding st: NotStopd t0: [16:00:00 10/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 10/08/2016] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [16:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: -1 v1: Inconsistently st: NotStopd t0: [16:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: -1 v1: 14 French st: NotStopd t0: [16:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [16:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 23 st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Brachial st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 7 v2: 14 st: NotStopd t0: [16:00:00 10/08/2016] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 10/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 10/08/2016] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [16:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 v1: Torso st: NotStopd t0: [16:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Healed st: NotStopd t0: [16:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Thoracotomy, L st: NotStopd t0: [16:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Femoral, Right st: NotStopd t0: [16:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Abdominal st: NotStopd t0: [16:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 10/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Diff to Palpate st: NotStopd t0: [16:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [16:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 10/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Soft st: NotStopd t0: [16:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Children st: NotStopd t0: [16:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/08/2016] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [15:00:00 10/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [16:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [16:56:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [16:56:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:56:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:56:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [16:56:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:56:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:56:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:56:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:56:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33.9 u1: Deg. C st: NotStopd t0: [16:56:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:56:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [16:56:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:56:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 15.1 u1: L/min st: NotStopd t0: [16:56:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:56:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [16:56:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:56:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:56:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:56:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:56:00 10/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 381 u1: ml/B st: NotStopd t0: [16:56:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [16:56:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:56:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:56:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [16:56:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:56:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:00:00 10/08/2016] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [16:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [17:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [17:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [17:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [17:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [17:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 198 vo: 30 vu: ml t0: [17:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [17:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [15:00:00 10/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: -1 v1: DONE
id: Peptamen el: 1 cu: CSRU cg: -1 io: Peptamen Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [16:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [17:14:00 10/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: -1 v1: 2 rs: Final st: NotStopd t0: [17:14:00 10/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: -1 v1: 2 rs: Final st: NotStopd t0: [18:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [18:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [18:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 v1: Compress Sleeves v2: On st: NotStopd t0: [18:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [18:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 10/08/2016] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [18:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [18:31:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [18:30:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 5 vu: ml t0: [18:30:00 10/08/2016] tf: [18:00:00 11/08/2016] dt: 1410 id: Peptamen Tube Feeding el: 1 cu: CSRU cg: -1 ai: 227 vo: 50 vu: ml t0: [18:30:00 10/08/2016] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 25 vu: ml
t0: [19:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [19:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [19:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [19:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [19:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 120 vu: ml t0: [19:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [15:00:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 100 rs: Manual st: NotStopd t0: [15:00:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 100 rs: Manual st: NotStopd
t0: [13:00:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: -1 v1: 3.3 rs: Manual st: NotStopd t0: [13:00:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.3 rs: Manual st: NotStopd t0: [15:00:00 10/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: -1 v1: 4 rs: Manual st: NotStopd t0: [15:00:00 10/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 4 rs: Manual st: NotStopd
t0: [20:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 10/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 10/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 10/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 10/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 10/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 10/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 10/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 10/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 10/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 10/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 10/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [20:00:00 10/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 10/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 10/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 10/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 10/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 10/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 10/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 10/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 10/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 10/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 10/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 10/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [20:00:00 10/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [20:00:00 10/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 10/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 10/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 10/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [20:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 10/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 10/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 10/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [20:00:00 10/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [20:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15 vu: ml t0: [20:00:00 10/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [20:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [20:00:00 10/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 10/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [20:00:00 10/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 10/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 10/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 10/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:3.0 st: NotStopd t0: [20:00:00 10/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 10/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 10/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 10/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 10/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 10/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [20:00:00 10/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 10/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 10/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 10/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 10/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 10/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 10/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 10/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 300 u1: ml/B st: NotStopd t0: [20:00:00 10/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [20:00:00 10/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 10/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 10/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 10/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 10/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [20:00:00 10/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [21:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [21:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [21:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [21:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 10/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 10/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 10/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd t0: [22:00:00 10/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [22:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 10/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [22:00:00 10/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 10/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [22:00:00 10/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [22:00:00 10/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [22:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 10/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 10/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 10/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 10/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 10/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 10/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [22:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 10/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 10/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 10/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [22:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 10/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 10/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 10/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 10/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 109 rs: Manual st: NotStopd
t0: [22:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 10/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 10/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 10/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 10/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 10/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 10/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 10/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:00:00 10/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 10/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 10/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 10/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 10/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 10/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 10/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [00:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 11/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 11/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [00:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [00:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 11/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: RN v1: Transparent st: NotStopd t0: [00:00:00 11/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [00:00:00 11/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [00:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [00:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 11/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [00:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 11/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [00:00:00 11/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 11/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 11/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 11/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [00:00:00 11/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:30:00 11/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:30:00 11/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:30:00 11/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:30:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 11/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:30:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:30:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:30:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:30:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:30:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:30:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:30:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [00:30:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:30:00 11/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [00:30:00 11/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [00:30:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [00:30:00 11/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:30:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:30:00 11/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 11/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 359 u1: ml/B st: NotStopd t0: [00:30:00 11/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: Yes v2: No st: NotStopd t0: [00:30:00 11/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:30:00 11/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:30:00 11/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:30:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:30:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [00:30:00 11/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 10/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [22:00:00 10/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [23:00:00 10/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [00:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [01:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [01:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: IH fr: Q4H fs: 2, 6, 10, 14, 18, 22 dn: 6 m1: Albuterol-Ipratropium v1: 1-2 u1: PUFF
t0: [02:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 11/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [02:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [02:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [02:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [02:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [02:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [02:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [02:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [02:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [02:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [20:00:00 10/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 11/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [03:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [03:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [03:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 10/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [03:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [03:00:00 11/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 110 rs: Manual st: NotStopd t0: [03:00:00 11/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 110 rs: Manual st: NotStopd
t0: [03:50:00 11/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:50:00 11/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:50:00 11/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [03:50:00 11/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:50:00 11/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd
t0: [03:31:00 11/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.3 u1: % rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 170 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [04:00:00 11/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [04:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 11/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 11/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [04:00:00 11/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [04:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 11/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [04:00:00 11/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [04:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed st: NotStopd t0: [04:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [04:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [04:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 11/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 11/08/2016] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 11/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [04:00:00 11/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [04:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [04:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [04:00:00 11/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [04:00:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [04:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [04:00:00 11/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [04:00:00 11/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 119.565 u1: units st: NotStopd t0: [04:00:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 11/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [04:00:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:00:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.8 u1: L/min st: NotStopd t0: [04:00:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 11/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 17 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [04:00:00 11/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 119.565 u1: units st: NotStopd t0: [04:00:00 11/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [04:00:00 11/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.276 u1: L st: NotStopd t0: [04:00:00 11/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 376 u1: ml/B st: NotStopd t0: [04:00:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd t0: [04:00:00 11/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [03:31:00 11/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 98 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd
t0: [05:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [05:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [05:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [05:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [03:31:00 11/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.7 rs: Final st: NotStopd t0: [06:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 11/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [06:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [06:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [06:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [06:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [06:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [06:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [06:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [06:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [06:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [06:30:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [06:30:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:30:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:30:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:30:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [06:30:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:30:00 11/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [06:30:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [06:30:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [06:30:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [06:30:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 457 u1: ml/B st: NotStopd t0: [06:30:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:30:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [05:00:00 11/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 11/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [06:40:00 11/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 100 u1: ml/cmH st: NotStopd t0: [06:40:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:40:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [06:40:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [06:40:00 11/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [06:40:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [06:40:00 11/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [06:40:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [06:40:00 11/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [06:40:00 11/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [06:40:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [06:40:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [07:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [07:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [07:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [07:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [08:09:00 11/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 38.4615 u1: ml/cmH st: NotStopd t0: [08:09:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [08:09:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [08:09:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [08:09:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [08:09:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [08:09:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [08:09:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [08:09:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [08:09:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:09:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [08:09:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [08:09:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [08:09:00 11/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [08:09:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [08:09:00 11/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:09:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [08:09:00 11/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [08:09:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:09:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [08:09:00 11/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [08:09:00 11/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [08:09:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [08:09:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [08:09:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [09:00:00 11/08/2016] id: Less Restrict Meas. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Arterial BP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: PressureReduceDevice el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:00:00 11/08/2016] id: Therapeutic Bed el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [08:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [08:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [08:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 11/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [08:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [08:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [08:00:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [08:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [09:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [09:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [09:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 11/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 35 vu: ml t0: [09:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [09:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml
t0: [23:30:00 10/08/2016] id: Tobramycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 2.4 rs: Final st: NotStopd
t0: [08:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 11/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Other st: NotStopd t0: [08:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 11/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [08:00:00 11/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 16 st: NotStopd t0: [08:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 11/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 11/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/08/2016] id: Restraints Evaluated el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 11/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [08:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 11/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 11/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [08:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [09:00:00 11/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Fam Talked to RN st: NotStopd t0: [09:00:00 11/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [10:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [10:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [10:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [10:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [11:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [11:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.3333 u1: mmHg st: NotStopd t0: [11:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 11/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Urine Culture st: NotStopd t0: [11:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Medium t0: [11:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [11:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
tf: [15:00:00 17/08/2016] pt: Unit Dose rt: IV fr: Q6H:PRN m1: Ondansetron v1: 2 u1: mg
t0: [08:00:00 11/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [10:30:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:30:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [10:30:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:30:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:30:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:30:00 11/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:30:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [10:30:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [11:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [11:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [11:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [01:00:00 11/08/2016] id: Tobramycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 5.6 rs: Final st: NotStopd
t0: [12:05:00 11/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:05:00 11/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [12:05:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:05:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:05:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [12:05:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:05:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [12:05:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:05:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [12:05:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [12:05:00 11/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:05:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:05:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11 u1: L/min st: NotStopd t0: [12:05:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:05:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [12:05:00 11/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [12:05:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [12:05:00 11/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:05:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:05:00 11/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [12:05:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:05:00 11/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [12:05:00 11/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:05:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 330 u1: ml/B st: NotStopd t0: [12:05:00 11/08/2016] id: Trach Size el: 0 cu: CSRU cg: -1 v1: #8 st: NotStopd t0: [12:05:00 11/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: -1 v1: Portex st: NotStopd t0: [12:05:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [12:05:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [12:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 11/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [12:00:00 11/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [12:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [12:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [12:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 11/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 11/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/08/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 11/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 11/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [12:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [12:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 11/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 113 rs: Manual st: NotStopd t0: [12:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [12:00:00 11/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [12:00:00 11/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [12:00:00 11/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [12:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [13:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [13:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [13:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [13:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 55 vu: ml
t0: [13:00:00 11/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml
t0: [14:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [14:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [14:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72.3333 u1: mmHg st: NotStopd t0: [14:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [14:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [13:00:00 11/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [14:00:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:38:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [14:38:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [14:38:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [14:38:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [14:38:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [14:38:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [14:38:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [14:38:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:38:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [14:38:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [14:38:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [15:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [15:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [15:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [16:00:00 11/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 11/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [16:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 11/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [16:00:00 11/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [16:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [16:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 11/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 11/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [16:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 11/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 11/08/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 11/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [16:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 11/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Loose st: NotStopd t0: [16:00:00 11/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 11/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [16:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [16:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Problem st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Moist st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 11/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 11/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [16:00:00 11/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: RN v1: done
t0: [16:00:00 11/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [16:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [16:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [12:00:00 11/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [12:00:00 11/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 11/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [16:00:00 11/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [16:26:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:26:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:26:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 45 u1: BPM st: NotStopd t0: [16:26:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:26:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Tracheostomy st: NotStopd t0: [16:26:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [16:26:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 11 st: NotStopd t0: [16:26:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 4 st: NotStopd t0: [16:26:00 11/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:26:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [16:26:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.4 u1: L/min st: NotStopd t0: [16:26:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:26:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 v1: 20 st: NotStopd t0: [16:26:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [16:26:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [16:26:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:26:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:26:00 11/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:26:00 11/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:26:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 320 u1: ml/B st: NotStopd t0: [16:26:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:26:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: Drager st: NotStopd
t0: [03:31:00 11/08/2016] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 199 rs: Final st: NotStopd t0: [03:31:00 11/08/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.6 rs: Final st: NotStopd
t0: [17:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [17:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [17:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [17:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml t0: [17:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [18:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [18:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [18:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [18:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [18:00:00 11/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [18:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [23:00:00 11/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 125 ap: none
t0: [18:00:00 11/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [19:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 11/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [19:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 11/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [19:00:00 11/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [19:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [19:00:00 11/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [19:00:00 11/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 11/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [19:00:00 11/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [19:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: RN ai: 227 vo: 50 vu: ml st: Stopped t0: [19:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 11/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Medium t0: [19:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 11/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward t0: [23:00:00 11/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 950 ap: none
t0: [20:00:00 11/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: Tube Feeding st: NotStopd t0: [20:00:00 11/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 11/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 11/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 11/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 11/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 11/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 11/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 11/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [20:00:00 11/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 11/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [20:00:00 11/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 11/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 11/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 11/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 11/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 11/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 11/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 11/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 11/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 11/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 11/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 11/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 11/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 11/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 11/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 11/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 11/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 11/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 11/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 11/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 11/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [20:00:00 11/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 11/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 11/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 11/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [20:00:00 11/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [20:00:00 11/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 11/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 11/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 11/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 11/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 11/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [20:00:00 11/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 11/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [20:00:00 11/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [20:00:00 11/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 11/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 11/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 11/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 11/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [20:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [20:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [21:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 34 u1: BPM st: NotStopd t0: [21:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [22:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [22:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:00:00 11/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [20:00:00 11/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 11/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [23:00:00 11/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 11/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 11/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 11/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 11/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [23:00:00 11/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 11/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [23:00:00 11/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 11/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 11/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 11/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 11/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 11/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [23:00:00 11/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 50 cv: 50 ap: none t0: [23:00:00 11/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -40 ap: none t0: [23:00:00 11/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 740 ap: none t0: [23:00:00 11/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 10 cv: 1815 ap: none t0: [23:00:00 11/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 50 cv: 2840 ap: none t0: [23:00:00 11/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -1025 ap: carryForward t0: [23:00:00 11/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 50 cv: 2840 ap: carryForward t0: [23:00:00 11/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -1371.09 ap: carryForward
t0: [21:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 11/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 11/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [00:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:00:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:00:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [00:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:00:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [00:00:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [00:00:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [00:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [00:00:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [00:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 16 French st: NotStopd t0: [00:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [00:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [00:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [00:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [01:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [01:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [01:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [01:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [01:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [01:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [01:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [01:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [00:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [01:00:00 12/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [01:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [01:00:00 12/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [01:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [01:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [01:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [01:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [01:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [01:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [01:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [01:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [01:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [01:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [01:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [01:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [01:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [01:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [01:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [01:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [01:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [01:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [01:00:00 12/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 12/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [01:00:00 12/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [01:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [01:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [01:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [01:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [01:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [01:00:00 12/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [01:00:00 12/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [01:00:00 12/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [01:00:00 12/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [00:00:00 12/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 88 rs: Manual st: NotStopd t0: [02:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [02:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [02:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [02:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [02:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [02:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [02:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml
t0: [02:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [03:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [03:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [03:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [03:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [03:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [03:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [03:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [03:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [03:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [03:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [03:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [03:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [03:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [03:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [03:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [03:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 12/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 765 ap: none t0: [23:00:00 12/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1041.8 ap: none
t0: [03:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [03:00:00 12/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [03:00:00 12/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [03:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 12/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [03:00:00 12/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [03:00:00 12/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: RN v1: done t0: [04:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [04:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [04:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [04:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 12/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml
t0: [00:00:00 12/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:00:00 12/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [00:00:00 12/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [00:00:00 12/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [00:00:00 12/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [00:00:00 12/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:30:00 12/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [04:30:00 12/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 98.9761 u1: units st: NotStopd t0: [04:30:00 12/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:30:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:30:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [04:30:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:30:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:30:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:30:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:30:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [04:30:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:30:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:30:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:30:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:30:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [04:30:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:30:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 20 st: NotStopd t0: [04:30:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 16 u1: . st: NotStopd t0: [04:30:00 12/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 98.9761 u1: units st: NotStopd t0: [04:30:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [04:30:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:30:00 12/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:30:00 12/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.293 u1: L st: NotStopd t0: [04:30:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [04:30:00 12/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [04:30:00 12/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:30:00 12/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:30:00 12/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:30:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:30:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [01:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [05:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [05:00:00 12/08/2016] id: Inc Cleansing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [05:00:00 12/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Dehisced v2: Other/Remarks st: NotStopd t0: [05:00:00 12/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Sanguinous v2: Large st: NotStopd t0: [05:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Packing v2: Changed st: NotStopd t0: [05:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [05:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [04:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:30:00 12/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 7.3 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.7 u1: % rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.4 u1: gm/dl rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 213 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.03 u1: /mic l rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.3 rs: Final st: NotStopd
t0: [05:30:00 12/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Total Bili Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 220 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 105 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 71 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: mEq/L rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [05:30:00 12/08/2016] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd
t0: [01:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [03:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [05:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [05:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [05:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [05:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [05:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [05:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [05:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [05:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [05:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [05:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [05:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 12/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [05:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [05:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [05:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [06:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [06:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [06:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [06:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [06:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [06:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [06:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [06:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [06:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 12/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [06:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 12/08/2016] tf: [15:27:00 17/08/2016] dt: 7827 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 25 vu: ml t0: [04:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [05:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 25 vu: ml t0: [05:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 25 vu: ml t0: [06:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [08:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 12/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [08:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 20 st: NotStopd t0: [08:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [08:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [08:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [08:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml
t0: [08:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [08:00:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [08:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [08:00:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [08:00:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [08:00:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [08:00:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13 u1: L/min st: NotStopd t0: [08:00:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:00:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [08:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [08:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [08:00:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [08:00:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [08:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 12/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 12/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [08:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [08:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [08:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 12/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [07:00:00 12/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 12/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [09:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [09:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [09:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [10:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [10:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [10:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 12/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 20 vu: ml t0: [10:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 12/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 110 ap: none
t0: [11:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [11:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [11:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [11:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [11:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [23:00:00 12/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 12/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1940 ap: none t0: [23:00:00 12/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: -898.2 ap: carryForward t0: [23:00:00 12/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1940 ap: carryForward t0: [23:00:00 12/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -2269.29 ap: carryForward
t0: [11:00:00 12/08/2016] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [11:00:00 12/08/2016] id: Packed RBC's IV Infusions el: 4 cu: CSRU cg: -1 ai: -1 vo: 0 st: D/C'd t0: [11:00:00 12/08/2016] id: Peptamen Tube Feeding el: 1 cu: CSRU cg: -1 ai: 227 vo: 0 st: D/C'd t0: [11:00:00 12/08/2016] id: Free Water Bolus PO/Gastric el: 1 cu: CSRU cg: -1 ai: 274 vo: 0 st: D/C'd
t0: [08:00:00 12/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [12:00:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [12:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [12:00:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [12:00:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [12:00:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [12:00:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.5 u1: L/min st: NotStopd t0: [12:00:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [12:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [12:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [12:00:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [12:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 430 u1: ml/B st: NotStopd t0: [12:00:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [12:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [12:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [12:00:00 12/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [12:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [12:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 12/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [12:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
tf: [11:00:00 13/08/2016] pt: IV Piggyback rt: IV fr: Q12H fs: 0, 12 dn: 2 m1: Tobramycin Sulfate v1: 80 u1: mg m2: D5W v2: 100 u2: ml
t0: [08:00:00 12/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [08:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 12/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 12/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [10:00:00 12/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 12/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 12/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [12:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 12/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 12/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 12/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 12/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [12:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 12/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [12:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [12:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 12/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 12/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 12/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 12/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [13:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [13:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [13:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 12/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [13:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
pt: TPN
t0: [13:30:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:30:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [13:30:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 12/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Line Placement st: NotStopd t0: [13:30:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [13:30:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [14:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.3333 u1: mmHg st: NotStopd t0: [14:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [14:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 12/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [08:00:00 12/08/2016] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Dehisced v2: Pink st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Sanguinous v2: Moderate st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 12/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [12:00:00 12/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [14:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [14:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [14:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [15:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [15:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81.3333 u1: mmHg st: NotStopd
t0: [15:00:00 12/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 12/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [15:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [15:00:00 12/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: None st: NotStopd t0: [15:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [16:00:00 12/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 12/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 12/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd
t0: [15:00:00 12/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Crying st: NotStopd t0: [16:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 12/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 12/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [16:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 12/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [16:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Dehisced st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [16:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 12/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 12/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [16:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [16:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 12/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 12/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 12/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [16:00:00 12/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd
t0: [16:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [14:30:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:30:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [14:30:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [14:30:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [14:30:00 12/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [14:30:00 12/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 12 u1: lpm st: NotStopd t0: [16:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [16:00:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [16:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [16:00:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [16:00:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [16:00:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [16:00:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 14 u1: L/min st: NotStopd t0: [16:00:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [16:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [16:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 12/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [16:00:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [16:00:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [16:30:00 12/08/2016] id: Procedures el: 0 cu: CSRU cg: RN v1: Angiography st: NotStopd
io: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ra: 41.7 ru: ml/hr
id: TPN el: 1 cu: CSRU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [16:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [18:30:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:30:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:30:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:30:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:30:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:30:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [18:30:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:30:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [18:30:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [18:30:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:30:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:30:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:30:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:30:00 12/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:30:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:30:00 12/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [18:30:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [18:30:00 12/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Soft st: NotStopd t0: [18:30:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:30:00 12/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:30:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 12/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [18:30:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 12/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [19:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 12/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [19:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 126 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [19:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [19:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 12/08/2016] tf: [15:27:00 17/08/2016] dt: 6987 id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml
t0: [19:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [12:00:00 12/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [12:00:00 12/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [12:00:00 12/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [12:00:00 12/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [12:00:00 12/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 12/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [20:00:00 12/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 12/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [20:00:00 12/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 12/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 12/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 12/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [20:00:00 12/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [20:00:00 12/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 12/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [20:00:00 12/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [20:00:00 12/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 12/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [20:00:00 12/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [20:00:00 12/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [20:00:00 12/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thick st: NotStopd t0: [20:00:00 12/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 12/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [20:00:00 12/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [20:00:00 12/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 12/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 12/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 12/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 12/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 12/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 12/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 12/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 12/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 12/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 12/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 12/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 12/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 12/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 12/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 12/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 12/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: RN v1: Pink st: NotStopd t0: [20:00:00 12/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 12/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 12/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 12/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 12/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 12/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [20:00:00 12/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 12/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 12/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 12/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [20:00:00 12/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [20:00:00 12/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 12/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 12/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [21:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [21:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 12/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 12/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [22:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 12/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [22:00:00 12/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 12/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 83.6667 u1: mmHg st: NotStopd t0: [22:00:00 12/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 12/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [22:00:00 12/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 12/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 12/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [22:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 12/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [21:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 12/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [21:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [22:00:00 12/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 12/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [22:00:00 12/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [23:00:00 12/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN cv: 166.8 ap: none
t0: [16:00:00 12/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [16:00:00 12/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [16:00:00 12/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [16:00:00 12/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [16:00:00 12/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [16:00:00 12/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [20:00:00 12/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [20:00:00 12/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [20:00:00 12/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [20:00:00 12/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [20:00:00 12/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [20:00:00 12/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:10:00 13/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [00:10:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:10:00 13/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [00:10:00 13/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [00:10:00 13/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [00:10:00 13/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:10:00 13/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [00:10:00 13/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:10:00 13/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [00:10:00 13/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [00:10:00 13/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:10:00 13/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:10:00 13/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11 u1: L/min st: NotStopd t0: [00:10:00 13/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:10:00 13/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [00:10:00 13/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [00:10:00 13/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [00:10:00 13/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:10:00 13/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 439 u1: ml/B st: NotStopd t0: [00:10:00 13/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [00:10:00 13/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [00:10:00 13/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 12/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [23:00:00 12/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 12/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 12/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 12/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 12/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 12/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 12/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 12/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 12/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 12/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 13/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [00:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [00:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 12/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [00:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [00:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 83.4 vu: ml t0: [00:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [23:00:00 13/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 470 ap: none
t0: [00:00:00 13/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 13/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 13/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [01:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [01:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [02:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [03:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [03:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 83.4 vu: ml t0: [02:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 220 vu: ml t0: [03:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [03:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [04:00:00 13/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 16 st: NotStopd t0: [04:00:00 13/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: RRT v1: 71.0784 u1: units st: NotStopd t0: [04:00:00 13/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: RRT v1: No st: NotStopd t0: [04:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/08/2016] id: HIGH MV ALARM el: 0 cu: CSRU cg: RRT v1: 18 t0: [04:00:00 13/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 13/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 45 u1: BPM st: NotStopd t0: [04:00:00 13/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 13/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [04:00:00 13/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 13/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [04:00:00 13/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 3.5 st: NotStopd t0: [04:00:00 13/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 13/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9 u1: cmH2O st: NotStopd t0: [04:00:00 13/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12 u1: L/min st: NotStopd t0: [04:00:00 13/08/2016] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 13/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: RRT v1: 25 st: NotStopd t0: [04:00:00 13/08/2016] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 14 u1: . st: NotStopd t0: [04:00:00 13/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: RRT v1: 71.0784 u1: units st: NotStopd t0: [04:00:00 13/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [04:00:00 13/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [04:00:00 13/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: RRT v1: 29 u1: BPM st: NotStopd t0: [04:00:00 13/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: RRT v1: 0.408 u1: L st: NotStopd t0: [04:00:00 13/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 13/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 13/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 496 u1: ml/B st: NotStopd t0: [04:00:00 13/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: RRT v1: No v2: Yes st: NotStopd t0: [04:00:00 13/08/2016] id: Trach Size el: 0 cu: CSRU cg: RRT v1: #8 st: NotStopd t0: [04:00:00 13/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: RRT v1: Inflated st: NotStopd t0: [04:00:00 13/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: RRT v1: Portex st: NotStopd t0: [04:00:00 13/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 13/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: Drager st: NotStopd
t0: [20:00:00 12/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [00:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 13/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 13/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [02:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [02:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 13/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 13/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [04:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [04:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [04:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 13/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 13/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 13/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 13/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [04:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [04:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [04:54:00 13/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26.4 u1: % rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 245 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.9 u1: /mic l rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd
t0: [05:30:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [05:30:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [05:30:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [00:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [02:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 13/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 13/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [04:00:00 13/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [05:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Commun Barrier st: NotStopd t0: [05:00:00 13/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [05:00:00 13/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [05:00:00 13/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 13/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [05:00:00 13/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [05:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [05:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 13/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 13/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Changed st: NotStopd t0: [05:00:00 13/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [05:00:00 13/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [05:00:00 13/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [05:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [05:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 13/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 13/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [05:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Restless st: NotStopd
t0: [05:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [05:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [04:54:00 13/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 210 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 11 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 84 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [04:54:00 13/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [06:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [06:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [07:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [07:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [07:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 83.4 vu: ml t0: [07:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [04:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd
t0: [08:00:00 13/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 13/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 13/08/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 13/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 13/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 13/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 13/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [08:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [08:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 13/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 13/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 13/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Intact st: NotStopd t0: [08:00:00 13/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 13/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 13/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 13/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [08:00:00 13/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 13/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [08:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 13/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 13/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 4 mm st: NotStopd t0: [08:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 13/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 13/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 13/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 13/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 13/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [08:00:00 13/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [08:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 13/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 13/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 17 u1: number st: NotStopd t0: [08:00:00 13/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [08:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [08:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [08:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [08:30:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:30:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:30:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:30:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:30:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 131 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:30:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [08:30:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:30:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:30:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
pt: TPN
t0: [09:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [09:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [09:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 13/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 13/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [09:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [09:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [10:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [10:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [10:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [10:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [10:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [10:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [10:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [10:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.3333 u1: mmHg st: NotStopd t0: [10:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [10:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [11:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [11:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.3333 u1: mmHg st: NotStopd t0: [11:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [11:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 13/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 40 cv: 40 ap: none t0: [23:00:00 13/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 15.1 cv: 15.1 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 550 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 45.1 cv: 1059.5 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 55.1 cv: 2079.5 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 40 cv: 2930 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 15.1 cv: -850.5 ap: none t0: [23:00:00 13/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 40 cv: 2930 ap: none t0: [23:00:00 13/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 15.1 cv: -3119.79 ap: carryForward
t0: [10:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 13/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 13/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 13/08/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 13/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 13/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 13/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 13/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 13/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 13/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 13/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 13/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 13/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 13/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [12:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 13/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 13/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [12:00:00 13/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 13/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [12:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 13/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 4 mm v2: 5 mm st: NotStopd t0: [12:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [12:00:00 13/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 13/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 13/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 13/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [12:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 13/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 13/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [12:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [12:00:00 13/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 13/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 13/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [13:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [13:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [13:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [13:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [13:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [13:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 120 vu: ml t0: [10:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 30 vu: ml t0: [12:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 90 vu: ml t0: [13:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 50 vu: ml t0: [13:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [13:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [14:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [14:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [14:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [14:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [14:00:00 13/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml t0: [14:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 230 vu: ml
t0: [13:00:00 13/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [14:56:00 13/08/2016] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:56:00 13/08/2016] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [14:56:00 13/08/2016] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.18 u1: pH rs: Final st: NotStopd
t0: [14:56:00 13/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd
t0: [14:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [14:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [15:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [15:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [15:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [15:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [15:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [15:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 13/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [15:00:00 13/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [15:00:00 13/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd t0: [15:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [15:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [14:32:00 13/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd t0: [14:32:00 13/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.2 rs: Final st: NotStopd
t0: [14:32:00 13/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 1323 rs: Final st: NotStopd t0: [14:32:00 13/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.8 rs: Final st: NotStopd t0: [14:32:00 13/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1323 rs: Final st: NotStopd t0: [14:32:00 13/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 7.8 rs: Final st: NotStopd
t0: [16:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [16:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [16:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [16:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [14:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [14:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [14:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [14:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 13/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 13/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 13/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 13/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [16:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 13/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 13/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 13/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Changed st: NotStopd t0: [16:00:00 13/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 13/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 13/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 13/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [16:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 13/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 13/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 13/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 13/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 13/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 13/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 13/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 15 u1: number st: NotStopd t0: [16:00:00 13/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [15:55:00 13/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [15:55:00 13/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [15:55:00 13/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [15:55:00 13/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 111 rs: Final st: NotStopd t0: [15:55:00 13/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [15:55:00 13/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd
t0: [17:23:00 13/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [17:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [17:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [17:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [17:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [17:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:23:00 13/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.9555 u1: ml/dl st: NotStopd t0: [17:23:00 13/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml t0: [17:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [17:23:00 13/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [17:23:00 13/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd
t0: [18:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [18:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89.3333 u1: mmHg st: NotStopd t0: [18:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 90 vu: ml t0: [18:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 41.7 vu: ml nb: 1 t0: [18:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [15:00:00 13/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thick st: NotStopd t0: [15:00:00 13/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [18:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [18:00:00 13/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thick st: NotStopd t0: [18:00:00 13/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 13/08/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [19:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [19:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [19:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [19:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [19:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [19:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [20:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 13/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 13/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [20:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [20:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [20:00:00 13/08/2016] id: Pain Level el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 13/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [20:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93.3333 u1: mmHg st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Activity st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 2-Mild st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med v2: Repositioned st: NotStopd t0: [20:00:00 13/08/2016] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd t0: [20:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [20:00:00 13/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 13/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [21:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 13/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 13/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [22:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 13/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [22:00:00 13/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [22:00:00 13/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [22:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [22:00:00 13/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [22:00:00 13/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 13/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 13/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 13/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 13/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 13/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 13/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [23:00:00 13/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 13/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 13/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [23:00:00 13/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 13/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 13/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 13/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [20:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [21:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [21:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [22:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [22:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [23:00:00 13/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 13/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [23:00:00 13/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [01:00:00 14/08/2016] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [23:00:00 13/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN st: NotStopd t0: [00:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [00:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [00:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [00:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 14/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 14/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [00:00:00 14/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [00:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81.3333 u1: mmHg st: NotStopd t0: [01:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [02:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [02:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [00:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [01:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [01:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [02:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [02:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [22:00:00 13/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd t0: [22:00:00 13/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 118 rs: Manual st: NotStopd
t0: [20:00:00 13/08/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 13/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [20:00:00 13/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [20:00:00 13/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 13/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Total Lift st: NotStopd t0: [20:00:00 13/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 13/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [00:00:00 14/08/2016] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: RN v1: Compress Sleeves v2: On st: NotStopd t0: [00:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [00:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 14/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [20:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [23:00:00 13/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [23:00:00 13/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [23:00:00 13/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [03:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [03:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90.3333 u1: mmHg st: NotStopd t0: [03:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 13/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 13/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 13/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 13/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 13/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 13/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [20:00:00 13/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [20:00:00 13/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 13/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Cleansing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 13/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Changed st: NotStopd t0: [20:00:00 13/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 13/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 13/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 13/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 13/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 13/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 13/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 13/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 13/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 13/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 13/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 13/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [20:00:00 13/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd t0: [22:00:00 13/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [22:00:00 13/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 14/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 14/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 14/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 14/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 14/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 14/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [02:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [03:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 14/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 14/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 14/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 14/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 14/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 14/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [04:00:00 14/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 14/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 14/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 14/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 14/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 14/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 14/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [04:00:00 14/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [04:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 14/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 14/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 14/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 14/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 14/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 14/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 14/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [03:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [03:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [04:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [04:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [04:00:00 14/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: White v2: Thin st: NotStopd t0: [04:00:00 14/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Expectorated v2: Small st: NotStopd
t0: [04:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [04:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96.3333 u1: mmHg st: NotStopd t0: [04:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [04:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 14/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 14/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 14/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [05:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [05:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [06:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [06:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:00:00 14/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 14/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 14/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 14/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 14/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 14/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [04:00:00 14/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 14/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 14/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 14/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd
t0: [06:28:00 14/08/2016] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.15 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [05:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN u1: torr st: NotStopd t0: [06:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd
t0: [20:00:00 13/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [00:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [04:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [06:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [07:00:00 14/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [07:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [06:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [06:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [06:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:26:00 14/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 14 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.6 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [07:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 175 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [07:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [07:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 14/08/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 14/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 14/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 14/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 14/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 14/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 14/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 14/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [08:00:00 14/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 14/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [07:00:00 14/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [08:00:00 14/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml
t0: [06:26:00 14/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.1 u1: % rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 310 rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.21 u1: /mic l rs: Final st: NotStopd t0: [06:26:00 14/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.7 rs: Final st: NotStopd t0: [06:28:00 14/08/2016] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.9617 u1: ml/dl st: NotStopd
t0: [08:00:00 14/08/2016] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Anxiety st: NotStopd t0: [08:00:00 14/08/2016] id: Education Handout el: 0 cu: CSRU cg: RN v1: Not Given st: NotStopd t0: [08:00:00 14/08/2016] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient/Family st: NotStopd t0: [08:00:00 14/08/2016] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [08:00:00 14/08/2016] id: Education Readiness el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 14/08/2016] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [08:00:00 14/08/2016] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 14/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 14/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [08:00:00 14/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 14/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Clean and Dry st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Serosanguinous v2: Small st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Changed st: NotStopd t0: [08:00:00 14/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 14/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 14/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 14/08/2016] id: Nursing Consultation el: 0 cu: CSRU cg: RN v1: Physical Therapy st: NotStopd t0: [08:00:00 14/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 14/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 14/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 14/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 14/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 16 u1: number st: NotStopd t0: [08:00:00 14/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 250 vu: ml
t0: [08:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 14/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 14/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 14/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 14/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 14/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 14/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 14/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 14/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 14/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 14/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 14/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [08:00:00 14/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [08:00:00 14/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 14/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 14/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 14/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 14/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 14/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 14/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 14/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd
t0: [09:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [09:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [09:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 172 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96.6667 u1: mmHg st: NotStopd t0: [09:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [09:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [06:26:00 14/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 142 rs: Final st: NotStopd
pt: TPN tf: [18:00:00 23/08/2016] pt: Unit Dose rt: SC fr: ASDIR m1: Insulin v1: 0 u1: UNIT
t0: [10:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [10:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [10:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [10:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [10:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [10:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 14/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 14/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 14/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [10:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [10:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 14/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thick st: NotStopd t0: [10:00:00 14/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [08:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 90 vu: ml t0: [10:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 90 vu: ml t0: [11:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml
t0: [23:00:00 14/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 590 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 62.5 cv: 1169.4 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 82.5 cv: 2364.4 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 540 ap: none
t0: [11:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [11:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [23:00:00 14/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 14/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -17.5 cv: -17.5 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 100 cv: 2670 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -17.5 cv: -425.6 ap: none t0: [23:00:00 14/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 100 cv: 2790 ap: none t0: [23:00:00 14/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -17.5 cv: -3545.38 ap: carryForward
t0: [12:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [12:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [12:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [12:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [12:00:00 14/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [06:00:00 14/08/2016] id: Lipase Enzymes el: 0 cu: CSRU cg: RN v1: 178 rs: Manual st: NotStopd
t0: [12:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 14/08/2016] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 14/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 14/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 14/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 14/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd
t0: [13:04:00 14/08/2016] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [13:04:00 14/08/2016] id: Venous CO2(Calc) VBG'S el: 0 cu: CSRU cg: 3161 v1: no data rs: Final st: NotStopd t0: [13:04:00 14/08/2016] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [13:04:00 14/08/2016] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [13:04:00 14/08/2016] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.43 u1: pH rs: Final st: NotStopd
t0: [13:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [13:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 100.667 u1: mmHg st: NotStopd t0: [13:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [13:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 14/08/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [13:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 14/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:00:00 14/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [13:00:00 14/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [13:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [13:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [13:02:00 14/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [13:02:00 14/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [13:02:00 14/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [13:02:00 14/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [13:02:00 14/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 rs: Final st: NotStopd t0: [13:02:00 14/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd
t0: [14:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [14:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [14:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [14:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [14:00:00 14/08/2016] id: D5W 50.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [15:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [15:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN u1: torr st: NotStopd t0: [15:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [15:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [15:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [15:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [15:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [15:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [15:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
io: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: Criticare HN el: 2 cu: CSRU cg: RN io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [16:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN u1: torr st: NotStopd t0: [16:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [16:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [16:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [16:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [16:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [16:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [16:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 14/08/2016] id: Pain Location el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 14/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Axillary st: NotStopd t0: [16:00:00 14/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [16:00:00 14/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd
t0: [16:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml
t0: [16:30:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vu: ml nb: 1
t0: [16:00:00 14/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 14/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 14/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 14/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 14/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 14/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 14/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 14/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 14/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [16:00:00 14/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 14/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 14/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 14/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 14/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:30:00 14/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:30:00 14/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [17:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [17:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [17:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [17:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml t0: [17:00:00 14/08/2016] tf: [08:00:00 15/08/2016] dt: 900 id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 5 vu: ml t0: [17:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml t0: [18:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml
t0: [18:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [18:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [18:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 92.3333 u1: mmHg st: NotStopd t0: [18:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [18:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 45.1 vu: ml nb: 1
t0: [18:00:00 14/08/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [18:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 14/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [18:00:00 14/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [18:00:00 14/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [18:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [18:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
t0: [12:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [12:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [12:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [17:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Commode st: NotStopd t0: [17:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [17:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [17:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 14/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 135 rs: Manual st: NotStopd t0: [19:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [19:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [19:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Commode st: NotStopd t0: [19:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [19:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [19:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [19:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [19:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [19:00:00 14/08/2016] tf: [15:27:00 17/08/2016] dt: 4107 id: Stool Out Stool el: 2 cu: CSRU cg: RN vo: 120 vu: ml t0: [19:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [23:00:00 14/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 120 ap: none
t0: [21:00:00 14/08/2016] id: Trach Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: RSBI (<100) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Cuff Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: RSBI Not Completed el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Apnea Time Interval el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: RSBI (<200) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Spon RR (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Spon. Vt (L) (Mech.) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Trach Cuff/Fenestra el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Trach Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Tracheostomy Cuff el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Tracheostomy Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 14/08/2016] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 14/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 14/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [20:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 14/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 14/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 14/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 14/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 14/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 14/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 14/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [20:00:00 14/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 14/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 14/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 14/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 14/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [20:00:00 14/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 14/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 14/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96.6667 u1: mmHg st: NotStopd t0: [20:00:00 14/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [20:00:00 14/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 14/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 14/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 14/08/2016] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 14/08/2016] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 14/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 14/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 14/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow st: NotStopd t0: [20:00:00 14/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [20:00:00 14/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 14/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 14/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [20:00:00 14/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [20:00:00 14/08/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 14/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 14/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 14/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [20:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [20:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
tf: [08:00:00 18/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 37.5 u1: mg
t0: [21:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [21:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 14/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 190 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [21:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 123.333 u1: mmHg st: NotStopd t0: [21:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 113.333 u1: mmHg st: NotStopd t0: [22:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [21:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [21:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [22:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [22:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [22:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [22:00:00 14/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 14/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 186 u1: mmHg v2: 77 u2: mmHg st: NotStopd
t0: [23:00:00 14/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [23:00:00 14/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [23:00:00 14/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [23:00:00 14/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 14/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 65 ap: none
t0: [23:06:00 14/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.8 u1: % rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 u1: gm/dl rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 288 rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.2 u1: /mic l rs: Final st: NotStopd t0: [23:06:00 14/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.1 rs: Final st: NotStopd
t0: [23:00:00 14/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 14/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 14/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 14/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 14/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 14/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [23:00:00 14/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:00:00 14/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 180 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [23:00:00 14/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 106.667 u1: mmHg st: NotStopd t0: [23:00:00 14/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 14/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [23:00:00 14/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 14/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [00:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 154 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [00:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [00:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 15/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [00:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [00:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [00:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [01:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 166 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [01:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [01:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [01:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [01:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml
t0: [02:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [02:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 176 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [02:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 112.667 u1: mmHg st: NotStopd t0: [02:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [03:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [03:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [03:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 170 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [04:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [22:00:00 14/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [00:00:00 15/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [02:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [02:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [02:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [03:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [03:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [03:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 300 vu: ml t0: [04:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [04:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [04:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [23:00:00 15/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 240 ap: none
t0: [06:00:00 15/08/2016] id: Imp Skin Cleanse #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 15/08/2016] id: ImpSkin Character #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 15/08/2016] id: ImpSkin Treatment #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 15/08/2016] id: ImpSkin Wound Base#1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [05:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 166 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 94.6667 u1: mmHg st: NotStopd t0: [05:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [06:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 190 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [06:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 114.667 u1: mmHg st: NotStopd t0: [06:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [06:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [05:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [05:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [06:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [06:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [06:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [05:46:00 15/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.3 u1: % rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 293 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.06 u1: /mic l rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9 rs: Final st: NotStopd
t0: [20:00:00 14/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 14/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 14/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 14/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 14/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 14/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 14/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 14/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 14/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [22:00:00 14/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 14/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 14/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 14/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 14/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 14/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 14/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [22:00:00 14/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [02:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [02:00:00 15/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [02:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [02:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [02:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 15/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [02:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 15/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 15/08/2016] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [02:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 15/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [02:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd
t0: [20:00:00 14/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 14/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 14/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 14/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: RN t0: [00:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [00:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [02:00:00 15/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 15/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [02:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [02:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [02:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 15/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [02:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 15/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [02:00:00 15/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 15/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [04:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [04:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 15/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [04:00:00 15/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Scant st: NotStopd t0: [05:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 15/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 15/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [06:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [06:00:00 15/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [06:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [06:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [06:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [06:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [06:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [06:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 15/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 15/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 15/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [06:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [06:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 15/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [06:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 15/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 15/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [06:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [05:46:00 15/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 191 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 16 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [06:00:00 15/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [06:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [07:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [07:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 172 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 103.333 u1: mmHg st: NotStopd t0: [07:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [07:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml t0: [07:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [05:46:00 15/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Manual st: NotStopd t0: [05:46:00 15/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [05:46:00 15/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: RN v1: 1.6 rs: Manual st: NotStopd t0: [05:46:00 15/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.6 rs: Final st: NotStopd t0: [08:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 15/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [08:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [08:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [08:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [08:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [08:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 177 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [08:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 111.667 u1: mmHg st: NotStopd t0: [08:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 15/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [08:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 15/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 15/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [08:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [08:00:00 15/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [09:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [09:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [09:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 15/08/2016] id: Criticare HN Tube Feeding el: 2 cu: CSRU cg: RN ai: 498 vo: 10 vu: ml st: Stopped t0: [09:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [09:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [23:00:00 15/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 90 ap: none
pt: TPN
t0: [08:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [08:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [10:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 15/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [10:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [10:00:00 15/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 15/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [10:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [10:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [10:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [10:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [10:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [10:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [10:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [10:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [10:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [10:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [10:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [10:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [10:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [10:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 167 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [10:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [10:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [10:00:00 15/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [10:00:00 15/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [10:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [10:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [10:00:00 15/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [10:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [10:00:00 15/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [10:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [11:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [11:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [11:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [11:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 15/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 80 cv: 80 ap: none t0: [23:00:00 15/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -16.6 cv: -16.6 ap: none t0: [23:00:00 15/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 440 ap: none t0: [23:00:00 15/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN pv: 53.4 cv: 1445.4 ap: none t0: [23:00:00 15/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 63.4 cv: 2215.4 ap: none t0: [23:00:00 15/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 80 cv: 3395 ap: none t0: [23:00:00 15/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -16.6 cv: -1179.6 ap: carryForward t0: [23:00:00 15/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 80 cv: 3395 ap: carryForward t0: [23:00:00 15/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -16.6 cv: -4724.98 ap: carryForward
t0: [10:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [12:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 15/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd t0: [12:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [12:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [12:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [12:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [12:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [12:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [12:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 15/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 15/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [12:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [12:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [12:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 15/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 141 rs: Manual st: NotStopd
t0: [12:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [12:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [13:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [13:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [13:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [13:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [14:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [14:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [14:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [14:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [14:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [14:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [14:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [14:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [14:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [14:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [14:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [14:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [14:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [14:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [14:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [14:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [14:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [14:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [14:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [14:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [14:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 15/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [14:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [15:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [15:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [15:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [15:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [15:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [15:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [15:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [16:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 15/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [16:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 15/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [16:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [16:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [16:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [16:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [16:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [16:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [16:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 161 u1: mmHg v2: 128 u2: mmHg st: NotStopd t0: [16:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg st: NotStopd t0: [16:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [16:00:00 15/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 15/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 15/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [16:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [16:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 15/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [16:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [16:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [17:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [17:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [17:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [17:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 62.5 vu: ml t0: [17:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [18:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [18:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [18:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 15/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [18:00:00 15/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [18:00:00 15/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [18:00:00 15/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 v2: 24 st: NotStopd t0: [18:00:00 15/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [18:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [18:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [18:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [18:00:00 15/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 15/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [18:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 143 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [18:00:00 15/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [18:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [18:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 15/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 15/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 15/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 15/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [18:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 15/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [10:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [12:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [14:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [15:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [16:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [18:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 15/08/2016] id: Stool Out Stool el: 2 cu: CSRU cg: RN vu: ml es: Small t0: [18:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 15/08/2016] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: carryForward
t0: [18:00:00 15/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd t0: [18:00:00 15/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 149 rs: Manual st: NotStopd t0: [19:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 15/08/2016] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [19:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [19:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [19:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [19:00:00 15/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vu: ml
t0: [20:00:00 15/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 15/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 15/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [20:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [20:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 108.667 u1: mmHg st: NotStopd t0: [20:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 15/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 15/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [20:00:00 15/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [20:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 120 vu: ml t0: [20:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [20:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [21:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [21:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [21:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [21:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [22:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [22:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [21:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [21:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:00:00 15/08/2016] id: Chest PT R/L el: 0 cu: CSRU cg: RN v1: Done v2: Done st: NotStopd t0: [20:00:00 15/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 15/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [20:00:00 15/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 15/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 15/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 15/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 15/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 15/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 15/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 15/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [20:00:00 15/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 15/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [20:00:00 15/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [20:00:00 15/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [20:00:00 15/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 15/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [20:00:00 15/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Confused st: NotStopd t0: [20:00:00 15/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 15/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [20:00:00 15/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [20:00:00 15/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [20:00:00 15/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 15/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [20:00:00 15/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 15/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 15/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [20:00:00 15/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [20:00:00 15/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Chairfast st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: No Limitations st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [20:00:00 15/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 19 u1: number st: NotStopd t0: [20:00:00 15/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Agitated st: NotStopd t0: [22:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 15/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 15/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 15/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [23:00:00 15/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 15/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 15/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 15/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 15/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 15/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 15/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 15/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 15/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 15/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 60 vu: ml t0: [22:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [22:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [22:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [23:00:00 15/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [23:00:00 15/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [20:00:00 15/08/2016] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [20:00:00 15/08/2016] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Expectorated v2: Small st: NotStopd t0: [20:00:00 15/08/2016] id: Trach Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 15/08/2016] id: TRACH CARE el: 0 cu: CSRU cg: RN
t0: [00:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [00:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 148 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 16/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 16/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [00:00:00 16/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [00:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [01:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [01:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [01:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [01:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [02:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [03:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [03:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [03:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 16/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [00:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [00:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [00:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [00:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [00:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [00:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [03:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [23:00:00 15/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [00:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [00:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [01:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [01:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [01:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [02:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [02:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [02:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml t0: [03:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [03:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 15/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN st: NotStopd t0: [00:00:00 16/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 16/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [00:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 16/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [00:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 16/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [00:00:00 16/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 16/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Erythema st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 16/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [00:00:00 16/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [00:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Supervised st: NotStopd t0: [00:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 16/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Apprehensive st: NotStopd t0: [00:00:00 16/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 112 rs: Manual st: NotStopd t0: [00:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:52:00 16/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31.2 u1: % rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 295 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.37 u1: /mic l rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.2 rs: Final st: NotStopd
t0: [03:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 82.6667 u1: mmHg st: NotStopd t0: [04:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 16/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 16/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 16/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [05:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 86.6667 u1: mmHg st: NotStopd t0: [05:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [05:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [04:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [05:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [05:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [04:52:00 16/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 109 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [04:52:00 16/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 132 rs: Final st: NotStopd
t0: [06:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [06:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 152 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [06:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [07:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [07:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [07:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [07:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [07:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [04:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [04:00:00 16/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 16/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 16/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [04:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 16/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Inconsistently st: NotStopd t0: [04:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 16/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [04:00:00 16/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [04:00:00 16/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 16/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [04:00:00 16/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [04:00:00 16/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [04:00:00 16/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [04:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [04:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [04:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [04:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 16/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [04:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 16/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 16/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [06:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [06:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [06:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [08:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 16/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [08:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 16/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [08:00:00 16/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [08:00:00 16/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [08:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [08:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 16/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Healed v2: Clean and Dry st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [08:00:00 16/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [08:00:00 16/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Femoral, Right st: NotStopd t0: [08:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [08:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 146 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 85.3333 u1: mmHg st: NotStopd t0: [08:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [08:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [08:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 16/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [08:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 16/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [08:00:00 16/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [08:00:00 16/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [08:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [08:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [06:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [07:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [09:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [09:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [09:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [09:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [09:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [09:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [09:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [09:00:00 16/08/2016] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: RRT u1: cmH2O st: NotStopd t0: [09:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [09:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Tracheostomy st: NotStopd t0: [09:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 11 st: NotStopd t0: [09:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Trach Mask st: NotStopd t0: [09:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 15 u1: lpm st: NotStopd
tf: [10:00:00 17/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 12.5 u1: mg
t0: [10:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [10:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [10:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [10:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [10:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [10:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [10:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: Independent st: NotStopd t0: [10:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [10:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [10:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [10:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [10:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [11:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [11:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [11:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [11:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [11:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [11:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [11:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [12:00:00 16/08/2016] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 16/08/2016] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 16/08/2016] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [12:00:00 16/08/2016] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 st: D/C'd
pt: TPN
t0: [12:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 16/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: H2 Blocker st: NotStopd t0: [12:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [12:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 16/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Called st: NotStopd t0: [12:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [12:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [12:00:00 16/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [12:00:00 16/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [12:00:00 16/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [12:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [12:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [12:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [12:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [12:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Approximated v2: Pink st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [12:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [12:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [12:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [12:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91.3333 u1: mmHg st: NotStopd t0: [12:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [12:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [12:00:00 16/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [12:00:00 16/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [12:00:00 16/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [12:00:00 16/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [12:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [12:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [12:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [12:00:00 16/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [12:00:00 16/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [13:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [13:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 83.3333 u1: mmHg st: NotStopd t0: [13:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [13:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [13:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [12:00:00 16/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [14:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [14:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80.6667 u1: mmHg st: NotStopd t0: [14:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [14:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [14:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [14:00:00 16/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 16/08/2016] id: Inc Cleansing #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 16/08/2016] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 16/08/2016] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 16/08/2016] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 16/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd
t0: [08:00:00 16/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Pink st: NotStopd t0: [08:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 16/08/2016] id: Impaired Skin Site#1 el: 0 cu: CSRU cg: RN v1: Torso st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Cleansing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Pink st: NotStopd t0: [12:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [12:00:00 16/08/2016] id: Inc/Wound Packing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [12:00:00 16/08/2016] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Thoracotomy, L st: NotStopd t0: [12:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 16/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd
t0: [15:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [15:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [15:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [15:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.3333 u1: mmHg st: NotStopd t0: [15:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [15:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [15:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [14:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [14:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [14:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [14:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [16:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 16/08/2016] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [16:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [16:00:00 16/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [16:00:00 16/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [16:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [16:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [16:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 16/08/2016] id: Inc Cleansing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [16:00:00 16/08/2016] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Open v2: Pink st: NotStopd t0: [16:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Serous v2: Scant st: NotStopd t0: [16:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [16:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 16/08/2016] id: Inc/Wound Packing #3 el: 0 cu: CSRU cg: RN v1: Normal Saline st: NotStopd t0: [16:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [16:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [16:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [16:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 84.3333 u1: mmHg st: NotStopd t0: [16:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [16:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [16:00:00 16/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [16:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [16:00:00 16/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [16:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [16:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [16:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Walks Occasional st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 16/08/2016] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [16:00:00 16/08/2016] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [16:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [16:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [16:00:00 16/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 16/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.8 u1: Deg. F st: NotStopd
io: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: Vivonex el: 1 cu: CSRU cg: RN io: Vivonex Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [08:00:00 16/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 16/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 16/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [17:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [17:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [17:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 142 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [17:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/08/2016] tf: [15:27:00 17/08/2016] dt: 1347 id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 0 vu: ml t0: [17:00:00 16/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 10 vu: ml t0: [17:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [17:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [17:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [18:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [18:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 16/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [18:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [18:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [18:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 16/08/2016] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [18:00:00 16/08/2016] id: Airway Type el: 0 cu: CSRU cg: RN v1: Tracheostomy st: NotStopd t0: [18:00:00 16/08/2016] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 11 st: NotStopd t0: [18:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 128 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 16/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Trach Mask st: NotStopd t0: [18:00:00 16/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [18:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [18:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 16/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 10 vu: ml t0: [18:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [18:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [18:00:00 16/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 124 rs: Manual st: NotStopd
t0: [19:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [19:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [19:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 77.6667 u1: mmHg st: NotStopd t0: [19:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [19:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 16/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 10 vu: ml t0: [19:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [19:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [19:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [20:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [20:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [20:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 16/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [20:00:00 16/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 10 vu: ml t0: [20:00:00 16/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 80 vu: ml t0: [20:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 53.4 vu: ml t0: [20:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 16/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 80 ap: none
t0: [22:00:00 16/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 16/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 16/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 16/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [22:00:00 16/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [22:00:00 16/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 16/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [22:00:00 16/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 16/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 16/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [22:00:00 16/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [22:00:00 16/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [22:00:00 16/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 260 vu: ml
t0: [23:00:00 16/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 340 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN cv: 1281.6 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1761.6 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1675 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: 86.6 ap: none t0: [23:00:00 16/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1675 ap: none t0: [23:00:00 16/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -4638.39 ap: carryForward
t0: [20:00:00 16/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [20:00:00 16/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 16/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 16/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 16/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [20:00:00 16/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 16/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [20:00:00 16/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 16/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [20:00:00 16/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [20:00:00 16/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 16/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 16/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 16/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 16/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 16/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 16/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 16/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 16/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 16/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 16/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 16/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 16/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 16/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [20:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 16/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 16/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 16/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 16/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 16/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 16/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 16/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 16/08/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 16/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 16/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [21:00:00 16/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [00:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [00:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [00:00:00 17/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 17/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 17/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [00:00:00 17/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [00:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [00:00:00 17/08/2016] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 198 vo: 80 vu: ml t0: [00:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [00:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [23:00:00 17/08/2016] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 80 ap: none
t0: [20:00:00 16/08/2016] id: Stool Color/Consist el: 0 cu: CSRU cg: RN v1: Brown v2: Liquid st: NotStopd t0: [20:00:00 16/08/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Diaper st: NotStopd t0: [23:00:00 16/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 16/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [23:00:00 16/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 16/08/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 16/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 17/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [00:00:00 17/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 17/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 17/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [00:00:00 17/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [00:00:00 17/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 17/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [00:00:00 17/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 17/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [00:00:00 17/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [00:00:00 17/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 17/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 17/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 17/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 17/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 17/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 17/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 17/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 17/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [00:00:00 17/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 17/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 17/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 17/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [00:00:00 17/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [00:00:00 17/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [00:00:00 17/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 16/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 16/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 16/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 17/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 17/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 17/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: No/Not Sedated st: NotStopd
t0: [02:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [02:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [02:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [02:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [23:00:00 17/08/2016] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 17/08/2016] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 240 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: IV Nutrition Total el: 3 cu: CSRU cg: RN cv: 747.6 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1247.6 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 180 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 1400 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: -152.4 ap: none t0: [23:00:00 17/08/2016] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 1400 ap: none t0: [23:00:00 17/08/2016] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -4790.79 ap: carryForward
t0: [03:00:00 17/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: WBC Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.4 u1: % rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 302 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.16 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 rs: Final st: NotStopd
t0: [03:00:00 17/08/2016] id: BUN el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Chloride Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Creatinine Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Glucose Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Magnesium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Phosphorous Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Potassium Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Sodium Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 168 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.5 u1: mg/dl rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.5 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 90 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.7 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:00:00 17/08/2016] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [04:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [04:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [04:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [04:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 17/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [04:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [04:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [04:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [00:00:00 17/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/08/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 17/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 17/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 17/08/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 17/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 17/08/2016] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 17/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [04:00:00 17/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 17/08/2016] id: Eye Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 14 u1: points st: NotStopd t0: [04:00:00 17/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [04:00:00 17/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 17/08/2016] id: GU Cath Insert Date el: 0 cu: CSRU cg: RN v1: 7 st: NotStopd t0: [04:00:00 17/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 17/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [04:00:00 17/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [04:00:00 17/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 17/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 17/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 17/08/2016] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: Yellow v2: Scant st: NotStopd t0: [04:00:00 17/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Wet to Dry v2: Changed st: NotStopd t0: [04:00:00 17/08/2016] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 17/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 17/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/08/2016] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 17/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 17/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 17/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 17/08/2016] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 17/08/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Diaper st: NotStopd t0: [04:00:00 17/08/2016] id: Support Systems el: 0 cu: CSRU cg: RN v1: Children st: NotStopd t0: [04:00:00 17/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 17/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 4 Confused st: NotStopd t0: [04:00:00 17/08/2016] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 17/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 17/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [04:00:00 17/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 17/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [04:00:00 17/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd
t0: [04:00:00 17/08/2016] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [06:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [06:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [06:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 156 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 88.6667 u1: mmHg st: NotStopd t0: [06:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 4 u1: BPM st: NotStopd t0: [06:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [06:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [06:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [06:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [09:00:00 17/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: PCT v1: 108 rs: Manual st: NotStopd
tf: [08:00:00 18/08/2016] pt: TPN
t0: [10:20:00 17/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 3 v2: Combivent st: NotStopd
t0: [08:00:00 17/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [08:00:00 17/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 17/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [08:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [08:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [08:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [08:00:00 17/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [08:00:00 17/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 17/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 17/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 17/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 17/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/08/2016] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 17/08/2016] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 17/08/2016] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 17/08/2016] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 17/08/2016] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 17/08/2016] id: Daily Wake Up el: 1 cu: CSRU cg: RN v1: discontinued st: NotStopd t0: [12:00:00 17/08/2016] id: Risk for Falls el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 17/08/2016] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 17/08/2016] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [12:00:00 17/08/2016] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/08/2016] id: NBP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [12:00:00 17/08/2016] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [12:00:00 17/08/2016] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 17/08/2016] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [12:00:00 17/08/2016] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 17/08/2016] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/08/2016] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [12:00:00 17/08/2016] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.5 u1: Deg. F st: NotStopd t0: [12:00:00 17/08/2016] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/08/2016] id: GI Prophylaxis el: 0 cu: CSRU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 17/08/2016] id: Diet Type el: 0 cu: CSRU cg: RN v1: NPO st: NotStopd t0: [08:00:00 17/08/2016] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/08/2016] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 17/08/2016] id: Follows Commands el: 0 cu: CSRU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 17/08/2016] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 17/08/2016] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: PEG v2: Abdomen st: NotStopd t0: [08:00:00 17/08/2016] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 17/08/2016] id: GU Catheter Size el: 0 cu: CSRU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 17/08/2016] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 17/08/2016] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 17/08/2016] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/08/2016] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 17/08/2016] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 17/08/2016] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 17/08/2016] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 2 st: NotStopd t0: [08:00:00 17/08/2016] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 17/08/2016] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 17/08/2016] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 17/08/2016] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 17/08/2016] id: Stool Management el: 0 cu: CSRU cg: RN v1: Diaper st: NotStopd t0: [08:00:00 17/08/2016] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 17/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 17/08/2016] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 17/08/2016] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [12:00:00 17/08/2016] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.35 u1: torr st: NotStopd t0: [12:00:00 17/08/2016] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [12:00:00 17/08/2016] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [12:00:00 17/08/2016] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [08:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 20 vu: ml t0: [08:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [08:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [08:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml t0: [10:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 40 vu: ml t0: [10:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [10:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml t0: [12:00:00 17/08/2016] id: Vivonex Tube Feeding el: 1 cu: CSRU cg: RN ai: 129 vo: 40 vu: ml t0: [12:00:00 17/08/2016] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 20 vu: ml t0: [12:00:00 17/08/2016] id: TPN 1000.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: -1 vo: 106.8 vu: ml t0: [12:00:00 17/08/2016] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [08:00:00 17/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 17/08/2016] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: PICC line v2: Right Brachial st: NotStopd t0: [08:00:00 17/08/2016] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 7 v2: 25 st: NotStopd t0: [08:00:00 17/08/2016] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 17/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 17/08/2016] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 17/08/2016] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 17/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 17/08/2016] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 17/08/2016] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 17/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 17/08/2016] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [09:00:00 17/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [09:00:00 17/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [09:00:00 17/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 17/08/2016] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 17/08/2016] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 17/08/2016] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [12:00:00 17/08/2016] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 17/08/2016] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 17/08/2016] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [12:00:00 17/08/2016] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 105 rs: Manual st: NotStopd
t0: [15:00:00 17/08/2016] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 2 v2: Combivent st: NotStopd
tf: [10:00:00 20/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lorazepam v1: 1 u1: mg
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol v1: 25 u1: mg
pt: TPN
tf: [11:00:00 19/08/2016] pt: IV Piggyback rt: IV fr: ONCE fs: 12 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: D5W v2: 250 u2: ml
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Captopril v1: 50 u1: mg
pt: TPN tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Lansoprazole v1: 30 u1: mg
tf: [15:00:00 19/08/2016] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Butalbital-Acet-Caffeine v1: 1-2 u1: TAB tf: [15:00:00 20/08/2016] pt: Unit Dose rt: PO fr: ONCE fs: 16 dn: 1 m1: Butalbital-Acet-Caffeine v1: 2 u1: TAB
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Lorazepam v1: 0.5 u1: mg
tf: [16:00:00 21/08/2016] pt: Unit Dose rt: PO fr: ONCE fs: 17 dn: 1 m1: Magnesium Oxide v1: 800 u1: mg
tf: [21:00:00 22/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Magnesium Oxide v1: 800 u1: mg
tf: [18:00:00 23/08/2016] pt: Non-Formulary rt: PO fr: QD fs: 10 m1: Esterified Estrogen (Menest) f1: TAB v1: 0.625 u1: mg tf: [18:00:00 23/08/2016] pt: Non-Formulary rt: PO fr: QD fs: 10 m1: Risendronate sodium (Actonel) f1: TAB v1: 5 u1: mg
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: Q24H fs: 14 dn: 1 m1: Pantoprazole v1: 40 u1: mg
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: TP fr: QID:PRN m1: Sarna Lotion v1: 1 u1: Appl
tf: [18:00:00 23/08/2016] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Magnesium Oxide v1: 800 u1: mg