This log is also available as text (s22888.txt) and as a (binary) annotation file (s22888.log).
Generated: Monday, 07-Jun-2010 13:20:37 EDT
(All dates below are surrogates.)
t0: [14:12:44 09/04/2013] tf: [00:55:27 10/04/2013] id: a40456 [view]
t0: [18:23:59 09/04/2013] tf: [01:31:59 12/04/2013] id: a40456n [view]
t0: [12:19:55 09/04/2013] tf: [06:32:55 10/04/2013] id: a41137 [view]
t0: [12:18:59 09/04/2013] tf: [06:31:59 10/04/2013] id: a41137n [view]
dd: 5401 ds: 1 ld: ABSCESS OF APPENDIX dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS
dd: 5651 ds: 1 ld: ANAL FISTULA
dd: 2410 ds: 2 ld: NONTOX UNINODULAR GOITER dd: 4299 ds: 3 ld: HEART DISEASE NOS dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS
dd: 5651 ds: 1 ld: ANAL FISTULA
dd: 73390 ds: 1 ld: BONE & CARTILAGE DIS NOS
dd: 0088 ds: 1 ld: VIRAL ENTERITIS NOS dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 3051 ds: 5 ld: TOBACCO USE DISORDER dd: 5651 ds: 2 ld: ANAL FISTULA dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS dd: V5883 ds: 3 ld: ENC THERAPEU DRG MONIT
dd: 78321 ds: 2 ld: LOSS OF WEIGHT dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 53010 ds: 2 ld: ESOPHAGITIS, UNSPECIFIED dd: 53550 ds: 1 ld: UNSP GASTR/GASTRO W/O HE
dd: 2410 ds: 1 ld: NONTOX UNINODULAR GOITER
dd: 1735 ds: 1 ld: MALIG NEO SKIN TRUNK dd: 1739 ds: 2 ld: MALIG NEO SKIN NOS
dd: 2410 ds: 1 ld: NONTOX UNINODULAR GOITER dd: 7931 ds: 2 ld: ABN FINDINGS-LUNG FIELD
dd: 24211 ds: 1 ld: TOX UNINOD GOIT W CRISIS dd: 515 ds: 3 ld: POSTINFLAM PULM FIBROSIS dd: 51889 ds: 2 ld: OTHER LUNG DISEASE NEC
dd: 2397 ds: 1 ld: ENDOCRINE/NERV NEO NOS dd: 5939 ds: 2 ld: RENAL & URETERAL DIS NOS dd: 7993 ds: 3 ld: DEBILITY NOS
dd: 2411 ds: 1 ld: NONTOX MULTINODUL GOITER dd: 585 ds: 3 ld: CHRONIC RENAL FAILURE dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS dd: V5849 ds: 2 ld: OTHR SPEC SURG AFTERCARE
dd: 1735 ds: 1 ld: MALIG NEO SKIN TRUNK dd: 7020 ds: 2 ld: ACTINIC KERATOSIS
dd: 2410 ds: 1 ld: NONTOX UNINODULAR GOITER
dd: 2761 ds: 2 ld: HYPOSMOLALITY dd: 2765 ds: 1 ld: HYPOVOLEMIA dd: 78791 ds: 2 ld: DIARRHEA
dd: 78321 ds: 1 ld: LOSS OF WEIGHT dd: 78701 ds: 3 ld: NAUSEA WITH VOMITING dd: 78791 ds: 2 ld: DIARRHEA dd: 78906 ds: 4 ld: ABDOMIN PAIN EPIGASTRIC
dd: 2761 ds: 2 ld: HYPOSMOLALITY dd: 2765 ds: 3 ld: HYPOVOLEMIA dd: 28529 ds: 5 ld: ANEMIA IN OTH CHRONIC IL dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 78321 ds: 1 ld: LOSS OF WEIGHT
dd: 78900 ds: 1 ld: ABDOMIN PAIN UNSPEC SITE
dd: 5589 ds: 2 ld: NONINF GASTROENTERIT NEC dd: 78799 ds: 1 ld: OTHER SYMP DIGESTIVE SYS
dd: 53081 ds: 1 ld: ESOPHAGEAL REFLUX
dd: 5651 ds: 1 ld: ANAL FISTULA dd: 6084 ds: 2 ld: MALE GEN INFLAM DIS NEC dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 4 ld: HYPOTHYROIDISM NOS dd: 78791 ds: 2 ld: DIARRHEA dd: 78906 ds: 1 ld: ABDOMIN PAIN EPIGASTRIC dd: 78909 ds: 3 ld: ABDOMIN PAIN OTHR SPEC S dd: V048 ds: 5 ld: VACCIN FOR INFLUENZA
dd: 0093 ds: 1 ld: DIARRHEA OF INFECT ORIG dd: 2449 ds: 6 ld: HYPOTHYROIDISM NOS dd: 2765 ds: 2 ld: HYPOVOLEMIA dd: 53550 ds: 4 ld: UNSP GASTR/GASTRO W/O HE dd: 53560 ds: 5 ld: DUODENITIS W/O HEMORRAGE dd: 5363 ds: 3 ld: GASTROPARESIS dd: 78791 ds: 1 ld: DIARRHEA dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS dd: V420 ds: 7 ld: KIDNEY TRANSPLANT STATUS
dd: 2440 ds: 7 ld: POSTSURGICAL HYPOTHYROID dd: 2720 ds: 6 ld: PURE HYPERCHOLESTEROLEM dd: 2761 ds: 3 ld: HYPOSMOLALITY dd: 2765 ds: 2 ld: HYPOVOLEMIA dd: 2765 ds: 5 ld: HYPOVOLEMIA dd: 2859 ds: 9 ld: ANEMIA NOS dd: 5302 ds: 8 ld: ULCER OF ESOPHAGUS dd: 5363 ds: 1 ld: GASTROPARESIS dd: 5589 ds: 2 ld: NONINF GASTROENTERIT NEC dd: 56949 ds: 3 ld: RECTAL & ANAL DIS NEC dd: 78791 ds: 1 ld: DIARRHEA dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 2639 ds: 3 ld: PROTEIN-CAL MALNUTR NOS dd: 2720 ds: 8 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 7 ld: HYPERTENSION NOS dd: 5302 ds: 4 ld: ULCER OF ESOPHAGUS dd: 5363 ds: 6 ld: GASTROPARESIS dd: 5533 ds: 5 ld: DIAPHRAGMATIC HERNIA dd: 5570 ds: 1 ld: AC VASC INSUFF INTESTINE dd: 78701 ds: 1 ld: NAUSEA WITH VOMITING dd: 78791 ds: 2 ld: DIARRHEA dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 24290 ds: 1 ld: THYROTOX NOS NO CRISIS
dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS
dd: 0389 ds: 2 ld: SEPTICEMIA NOS dd: 2589 ds: 5 ld: POLYGLANDUL DYSFUNC NOS dd: 486 ds: 1 ld: PNEUMONIA, ORGANISM NOS dd: 5849 ds: 3 ld: ACUTE RENAL FAILURE NOS dd: 7806 ds: 1 ld: FEVER dd: 7862 ds: 2 ld: COUGH dd: 78652 ds: 3 ld: PAINFUL RESPIRATION dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 24290 ds: 3 ld: THYROTOX NOS NO CRISIS dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 5571 ds: 1 ld: CHR VASC INSUFF INTEST
dd: 24290 ds: 3 ld: THYROTOX NOS NO CRISIS dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 5571 ds: 1 ld: CHR VASC INSUFF INTEST
dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS
dd: 5991 ds: 1 ld: URETHRAL FISTULA
dd: V7283 ds: 1 ld: OTHER SPEC PRE-OP EXAM
dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS
dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 71941 ds: 1 ld: JOINT PAIN-SHLDER
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 1 ld: HYPOTHYROIDISM NOS
dd: 2521 ds: 1 ld: HYPOPARATHYROIDISM
dd: 0412 ds: 5 ld: PNEUMOCOCCUS INFECT NOS dd: 2440 ds: 8 ld: POSTSURGICAL HYPOTHYROID dd: 2720 ds: 9 ld: PURE HYPERCHOLESTEROLEM dd: 566 ds: 4 ld: ANAL & RECTAL ABSCESS dd: 5902 ds: 3 ld: RENAL/PERIRENAL ABSCESS dd: 73300 ds: 7 ld: OSTEOPOROSIS NOS dd: 7806 ds: 1 ld: FEVER dd: 7907 ds: 1 ld: BACTEREMIA dd: 99681 ds: 2 ld: COMPLIC KIDNEY TRANSPLAN dd: E8780 ds: 6 ld: ABN REACT-ORG TRANSPLANT dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 5902 ds: 4 ld: RENAL/PERIRENAL ABSCESS dd: 71941 ds: 3 ld: JOINT PAIN-SHLDER dd: V065 ds: 1 ld: TETANUS-DIPTHERIA
dd: V7283 ds: 1 ld: OTHER SPEC PRE-OP EXAM
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 5651 ds: 2 ld: ANAL FISTULA dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 3 ld: HYPOTHYROIDISM NOS dd: 2720 ds: 2 ld: PURE HYPERCHOLESTEROLEM dd: 7806 ds: 1 ld: FEVER dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 2449 ds: 7 ld: HYPOTHYROIDISM NOS dd: 2720 ds: 8 ld: PURE HYPERCHOLESTEROLEM dd: 5302 ds: 5 ld: ULCER OF ESOPHAGUS dd: 5533 ds: 4 ld: DIAPHRAGMATIC HERNIA dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: 5849 ds: 3 ld: ACUTE RENAL FAILURE NOS dd: 73300 ds: 6 ld: OSTEOPOROSIS NOS dd: 99681 ds: 2 ld: COMPLIC KIDNEY TRANSPLAN
dd: 56211 ds: 1 ld: DIVERTICULITIS OF COLON dd: 78703 ds: 3 ld: VOMITING ALONE dd: 78791 ds: 2 ld: DIARRHEA
dd: 2440 ds: 6 ld: POSTSURGICAL HYPOTHYROID dd: 2720 ds: 8 ld: PURE HYPERCHOLESTEROLEM dd: 2764 ds: 5 ld: MIXED ACID-BASE BAL DIS dd: 2800 ds: 4 ld: CHR BLOOD LOSS ANEMIA dd: 28521 ds: 9 ld: ANEMIA IN CHRONIC KIDNEY dd: 5570 ds: 2 ld: AC VASC INSUFF INTESTINE dd: 73300 ds: 7 ld: OSTEOPOROSIS NOS dd: 99674 ds: 1 ld: COMPL FROM OTH VASCULAR dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 0380 ds: 5 ld: STREPTOCOCCAL SEPTICEMIA dd: 2875 ds: 6 ld: THROMBOCYTOPENIA NOS dd: 5570 ds: 2 ld: AC VASC INSUFF INTESTINE dd: 73300 ds: 9 ld: OSTEOPOROSIS NOS dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S dd: 99674 ds: 1 ld: COMPL FROM OTH VASCULAR dd: 9972 ds: 4 ld: SURG COMP-PERI VASC SYST dd: E8782 ds: 7 ld: ABN REACT-ANASTOM/GRAFT dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS dd: V5861 ds: 8 ld: LONG-TERM USE ANTICOAGUL
tf: [17:00:00 08/08/2015] pt: IV Flush rt: IV fr: INFUSION
tf: [19:00:00 03/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium f1: INJ v1: 25000 u1: UNIT m2: D5W f2: INJ v2: 250 u2: ml tf: [19:00:00 03/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Heparin f1: INJ v1: 3000 u1: UNIT tf: [07:00:00 09/08/2015] pt: Unit Dose rt: IV fr: Q24H fs: 8 dn: 1 m1: Multivitamins f1: INJ v1: 10 u1: ml tf: [08:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 8, 16, 0 dn: 3 m1: Metronidazole f1: INJ v1: 500 u1: mg m2: NS f2: INJ v2: 100 u2: ml
tf: [12:00:00 03/08/2015] pt: IV Piggyback rt: IV DRIP fr: INFUSION dn: 0 m1: Alteplase f1: INJ v1: 1 u1: mg m2: NS f2: INJ v2: 250 u2: ml
tf: [13:00:00 03/08/2015] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Azathioprine Sodium f1: VIAL v1: 75 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [11:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: QOD dn: 0 m1: Methylprednisolone Na Succ. v1: 8 u1: mg m2: Syringe (IV Room) f2: INJ v2: 1 u2: SYR tf: [08:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [08:00:00 10/08/2015] pt: Unit Dose rt: IV fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium f1: VIAL v1: 75 u1: mcg
tf: [08:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 12, 00 dn: 2 m1: Pantoprazole Sodium v1: 40 u1: mg m2: NS v2: 100 u2: ml
tf: [07:00:00 04/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 16 dn: 1 m1: Morphine Sulfate v1: 2-4 u1: mg
tf: [02:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [02:00:00 04/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 20 dn: 1 m1: Heparin v1: 4000 u1: UNIT tf: [20:00:00 16/08/2015] pt: Unit Dose rt: IV fr: Q3-4H:PRN m1: Morphine Sulfate v1: 2-4 u1: mg
tf: [07:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 23 dn: 1 m1: Magnesium Sulfate v1: 4 u1: gm m2: NS v2: 250 u2: ml tf: [07:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: ONCE MR1 fs: 23 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [07:00:00 04/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 23 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm
tf: [21:00:00 06/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [07:00:00 04/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 4 dn: 1 m1: Calcium Gluconate v1: 1-2 u1: gm
id: Heparin el: 100 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
io: D5/.45NS IV Infusions el: 1 cu: CCU cg: RN ra: 125 ru: ml/hr io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ra: 8 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: CCU cg: RN io: D5/.45NS IV Infusions du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
tf: [00:29:00 08/08/2015] dt: 5426 cu: CCU de: FA9B
id: D5W el: 1 cu: CCU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5100 id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5100 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5100 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5100 id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [06:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5100 id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Arterial BP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:07:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5422 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd
t0: [06:00:00 04/08/2015] id: D5/.45NS IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1
t0: [06:00:00 04/08/2015] tf: [08:00:00 04/08/2015] dt: 120 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 500 vu: ml
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7222 u1: Deg. C st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Temperature F el: 0 cu: CCU cg: RN v1: 99.9 u1: Deg. F st: NotStopd t0: [06:05:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:05:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:05:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:05:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [06:05:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:05:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:05:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:05:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:10:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5419 id: Significant Events el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:05:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:10:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:10:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:10:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:10:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [06:10:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:10:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5090 id: NBP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:10:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 5090 id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [06:10:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:10:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [06:10:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:10:00 04/08/2015] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [06:10:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:10:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:15:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:15:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:15:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:15:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [06:15:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:15:00 04/08/2015] id: NBP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:15:00 04/08/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [06:15:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:15:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:15:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [06:15:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:15:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:20:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:20:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:20:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:20:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:20:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:20:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:20:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [06:20:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:20:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:20:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:05:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:10:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:15:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:20:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Level el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:05:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:05:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:10:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:10:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:15:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:20:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [06:20:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:20:00 04/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:20:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 3700 id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [06:20:00 04/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:20:00 04/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [06:20:00 04/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [06:20:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [06:20:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [06:20:00 04/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:20:00 04/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [06:20:00 04/08/2015] tf: [20:00:00 05/08/2015] dt: 2260 id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [06:20:00 04/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [06:20:00 04/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:20:00 04/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:20:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [06:20:00 04/08/2015] tf: [20:00:00 07/08/2015] dt: 5140 id: Skin Color el: 0 cu: CCU cg: RN v1: Flushed st: NotStopd t0: [06:20:00 04/08/2015] tf: [20:00:00 07/08/2015] dt: 5140 id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Skin Integrity el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [06:20:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 3700 id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [06:20:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:20:00 04/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:20:00 04/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden Score el: 0 cu: CCU cg: RN v1: 16 u1: number st: NotStopd t0: [06:20:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5409 id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [06:25:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:25:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:25:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:25:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:25:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [06:25:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:25:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [06:25:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:25:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:25:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:25:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:25:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:30:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:30:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:30:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:30:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [06:30:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:30:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:30:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:30:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:30:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [06:30:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [06:30:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:35:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:35:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4705 id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [06:35:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:35:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:35:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:35:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [06:35:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:35:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [06:35:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [06:35:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:35:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:35:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [06:35:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:25:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:30:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:35:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 38.2 u1: % rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.9 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 60 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 4.11 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 6.7 rs: Final st: NotStopd
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.3 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 72 rs: Final st: NotStopd
id: KCL el: 200 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 14 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 111 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.4 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [06:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5429 id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd t0: [07:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [07:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:00:00 04/08/2015] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [07:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 110 u1: BPM st: NotStopd t0: [08:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [08:00:00 04/08/2015] id: NBP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [08:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [08:00:00 04/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [08:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
io: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ra: 100 ru: ml/hr
t0: [07:00:00 04/08/2015] tf: [14:00:00 07/08/2015] dt: 4740 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [07:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5369 id: D5/.45NS IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [08:00:00 04/08/2015] id: D5/.45NS IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [08:00:00 04/08/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [08:00:00 04/08/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vu: ml nb: 1 t0: [08:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [07:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline el: 2 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -8 rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [08:17:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5292 id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.11 rs: Final st: NotStopd t0: [08:17:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd
t0: [08:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 04/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 04/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 04/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 04/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [08:00:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 04/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 04/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 04/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [08:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 04/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [08:00:00 04/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 04/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 04/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Flushed st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [08:00:00 04/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 04/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 04/08/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [08:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 04/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [08:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [08:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [08:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [09:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [09:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [09:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [09:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [09:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [09:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5309 id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml t0: [09:00:00 04/08/2015] tf: [17:00:00 04/08/2015] dt: 480 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 100 vu: ml t0: [09:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [09:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [09:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [11:00:00 04/08/2015] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Azathioprine Sodium v1: 50 u1: mg m2: D5W v2: 50 u2: ml tf: [17:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Azathioprine Sodium v1: 50 u1: mg m2: D5W v2: 50 u2: ml
t0: [10:02:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -7 rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 132 u1: mmHg rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [10:02:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd
t0: [10:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 113 u1: BPM st: NotStopd t0: [10:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [10:00:00 04/08/2015] id: NBP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [10:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [10:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [10:00:00 04/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [10:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5189 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml t0: [10:00:00 04/08/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 100 vu: ml t0: [10:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [10:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [10:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:55:00 04/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 37.3 u1: % rs: Final st: NotStopd
tf: [15:00:00 06/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Vancomycin HCl v1: 1000 u1: mg m2: Iso-Osmotic Dextrose v2: 200 u2: ml
t0: [10:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 3 u1: mmHg st: NotStopd t0: [10:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [11:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [11:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [11:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [11:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 700 vu: ml t0: [11:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [11:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [11:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [12:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [12:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [12:00:00 04/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [12:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [15:00:00 05/08/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Hydrocortisone Na Succ. v1: 100 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [12:04:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [12:04:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [12:04:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [12:04:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [12:04:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [12:04:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [12:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [12:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 04/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 04/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [12:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [12:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [12:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [12:00:00 04/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [12:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [12:00:00 04/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 04/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [12:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 04/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 04/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd
t0: [12:04:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.2 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 66 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [13:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [13:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 600 vu: ml t0: [13:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [13:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [13:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 04/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 04/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [10:00:00 04/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 04/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 04/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 04/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 04/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 04/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 04/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 04/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Flushed st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [12:00:00 04/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 04/08/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 04/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 80 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: LDH Enzymes el: 0 cu: CCU cg: 140 v1: 201 rs: Final st: NotStopd t0: [12:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 5069 id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.4 rs: Final st: NotStopd
t0: [14:05:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 27 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [14:05:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd
t0: [12:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 111 u1: BPM st: NotStopd t0: [14:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 81 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [14:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 550 vu: ml t0: [14:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [14:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [14:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
io: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ra: 150 ru: ml/hr
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: Lactated Ringers el: 1 cu: CCU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push
t0: [14:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 2 u1: mmHg st: NotStopd t0: [14:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 04/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.1111 u1: Deg. C st: NotStopd t0: [14:00:00 04/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.6 u1: Deg. F st: NotStopd t0: [15:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [15:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [15:00:00 04/08/2015] id: NBP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [15:00:00 04/08/2015] id: NBP Mean el: 0 cu: CCU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [15:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [15:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:00:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4200 id: PAP S/D el: 0 cu: CCU cg: RN v1: 24 u1: mmHg v2: 8 u2: mmHg st: NotStopd t0: [15:00:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4200 id: PCWP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd
t0: [15:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vu: ml nb: 1 t0: [15:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [15:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [16:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [16:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4140 id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [16:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 4500 id: Temperature C el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [16:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 4500 id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 37.8 u1: Deg. C st: NotStopd t0: [16:00:00 04/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 100.04 u1: Deg. F st: NotStopd t0: [16:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:55:00 04/08/2015] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.50485 u1: m2 t0: [15:55:00 04/08/2015] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 50 u1: kg t0: [15:55:00 04/08/2015] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [15:55:00 04/08/2015] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: ABDOMINAL PAIN t0: [15:55:00 04/08/2015] id: Service el: 1026 cu: CCU cg: -1 v1: VSU t0: [15:55:00 04/08/2015] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 64 u1: inches t0: [15:55:00 04/08/2015] id: Readmission el: 1014 cu: CCU cg: -1 t0: [15:55:00 04/08/2015] id: Marital Status el: 1006 cu: CCU cg: -1 v1: S t0: [15:55:00 04/08/2015] id: Religion el: 1000 cu: CCU cg: -1 v1: RCA t0: [15:55:00 04/08/2015] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [15:55:00 04/08/2015] id: Ext el: 1010 cu: CCU cg: -1 t0: [15:55:00 04/08/2015] id: PIN el: 1012 cu: CCU cg: -1 t0: [15:55:00 04/08/2015] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [16:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [16:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: CCI el: 0 cu: CCU cg: RN v1: 5.1 t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: CCO el: 0 cu: CCU cg: RN v1: 7.8 t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: LCW el: 0 cu: CCU cg: RN u1: kg x m st: NotStopd t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: LVSW el: 0 cu: CCU cg: RN u1: g * m st: NotStopd t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: RCW el: 0 cu: CCU cg: RN u1: kg * m st: NotStopd t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: RVSW el: 0 cu: CCU cg: RN u1: g * m st: NotStopd t0: [16:00:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4140 id: Swan SVO2 el: 0 cu: CCU cg: RN u1: ml st: NotStopd t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: Stroke Volume el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [16:00:00 04/08/2015] tf: [13:00:00 07/08/2015] dt: 4140 id: C.O.(thermodilution) el: 0 cu: CCU cg: RN u1: L/min st: NotStopd
t0: [16:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd
t0: [16:20:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [16:20:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [16:20:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [16:20:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 26 u1: mmHg rs: Final st: NotStopd t0: [16:20:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 81 u1: mmHg rs: Final st: NotStopd t0: [16:20:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd
t0: [16:20:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd
t0: [17:00:00 04/08/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [17:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 04/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.9 t0: [17:00:00 04/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.4 t0: [17:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [17:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [17:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [17:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 04/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 83 u1: % st: NotStopd t0: [17:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [17:00:00 04/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.7 u1: Deg. C st: NotStopd t0: [17:00:00 04/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.86 u1: Deg. F st: NotStopd t0: [17:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4829 id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 150 vu: ml t0: [16:00:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vu: ml t0: [16:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [17:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [17:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [17:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [17:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4769 id: bladder pressure el: 0 cu: CCU cg: RN v1: 16
t0: [17:00:00 04/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.6 rs: Final st: NotStopd t0: [17:00:00 04/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.8 u1: % rs: Final st: NotStopd t0: [17:00:00 04/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.3 u1: gm/dl rs: Final st: NotStopd t0: [17:00:00 04/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd t0: [17:00:00 04/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [17:00:00 04/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.6 rs: Final st: NotStopd
t0: [18:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 04/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 5 t0: [18:00:00 04/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.6 t0: [18:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 101 u1: BPM st: NotStopd t0: [18:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 04/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [18:00:00 04/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [18:00:00 04/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd t0: [18:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [18:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [18:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 150 vu: ml
t0: [18:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:34:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -6 rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [18:34:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd
t0: [18:30:00 04/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
t0: [19:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [19:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [19:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 33 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [19:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [19:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [19:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [19:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:53:00 04/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.7 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 64.9 rs: Final st: NotStopd
t0: [18:53:00 04/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 12 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.4 u1: mg/dl rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.8 u1: mEq/L rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [18:53:00 04/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd
t0: [20:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [20:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: SVR el: 1 cu: CCU cg: RN v1: 821 t0: [20:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [20:00:00 04/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [20:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [20:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [20:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [20:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [20:00:00 04/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [20:00:00 04/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [20:00:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.1079 u1: ml/dl st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [20:00:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [20:00:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [20:00:00 04/08/2015] tf: [19:00:00 07/08/2015] dt: 4260 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [18:00:00 04/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 04/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 04/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 04/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 04/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 04/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2880 id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 6 v2: 28 st: NotStopd t0: [20:00:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 04/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/08/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 04/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [20:00:00 04/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [20:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 04/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: Compress Sleeves v2: Off st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Unknown st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 04/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 04/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 04/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 04/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [20:00:00 04/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [20:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [20:00:00 04/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Logroll st: NotStopd t0: [20:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 04/08/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [20:00:00 04/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [20:00:00 04/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [21:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [21:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [21:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:06:00 04/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 97 u1: mmHg rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [22:06:00 04/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.2882 u1: ml/dl st: NotStopd t0: [22:06:00 04/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [22:06:00 04/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: Eye Care el: 0 cu: CCU cg: RN st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: Oral Care el: 0 cu: CCU cg: RN st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: Skin Care el: 0 cu: CCU cg: RN st: NotStopd t0: [20:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4589 id: Back Care el: 0 cu: CCU cg: RN st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [22:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 04/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [22:00:00 04/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [22:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [22:00:00 04/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4469 id: Emesis Appearance/ph el: 0 cu: CCU cg: RN v1: Bilious st: NotStopd t0: [22:00:00 04/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 04/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 04/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [22:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [22:00:00 04/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 04/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 04/08/2015] id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 6 v2: 28 st: NotStopd t0: [22:00:00 04/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [22:00:00 04/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [22:00:00 04/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [22:00:00 04/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 04/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [22:00:00 04/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 04/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [22:00:00 04/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [22:00:00 04/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 04/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [22:00:00 04/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:00:00 04/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [22:00:00 04/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 04/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 04/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [22:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 26 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: Unable to score st: NotStopd t0: [22:00:00 04/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [22:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [22:00:00 04/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [22:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 04/08/2015] tf: [20:00:00 06/08/2015] dt: 2760 id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 04/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [22:00:00 04/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [22:00:00 04/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [22:00:00 04/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 04/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 04/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 04/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 855 t0: [22:00:00 04/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [22:00:00 04/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [22:00:00 04/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [22:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 04/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 04/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [22:00:00 04/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [22:00:00 04/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [22:00:00 04/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [22:00:00 04/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 04/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 04/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 04/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 04/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd
t0: [21:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [21:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [22:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [22:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [22:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [22:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 5.1 t0: [20:00:00 04/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.1 t0: [22:00:00 04/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.9 t0: [22:00:00 04/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.5 t0: [22:00:00 04/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [23:00:00 04/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 04/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.9 t0: [23:00:00 04/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.3 t0: [23:00:00 04/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 04/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 04/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 04/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 04/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 04/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 850 t0: [23:00:00 04/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [23:00:00 04/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [23:00:00 04/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.8 t0: [00:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.3 t0: [00:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [00:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: Emesis Appearance/ph el: 0 cu: CCU cg: RN v1: Bilious st: NotStopd t0: [00:00:00 05/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [00:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 05/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [00:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 05/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [00:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [00:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [00:00:00 05/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [00:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [00:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [00:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [00:00:00 05/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 858 t0: [00:00:00 05/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [00:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 84 u1: % st: NotStopd t0: [00:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [00:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [00:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [00:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Absent st: NotStopd
t0: [23:00:00 04/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [23:00:00 04/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [23:00:00 04/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [00:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [00:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [00:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 04/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/08/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 90 cv: 90 ap: none t0: [23:00:00 04/08/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 68 cv: 68 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 158 cv: 5386 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 158 cv: 5386 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 60 cv: 1850 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 68 cv: 3506 ap: none t0: [23:00:00 04/08/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 90 cv: 1880 ap: none t0: [23:00:00 04/08/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 68 cv: 3506 ap: none t0: [23:00:00 05/08/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 05/08/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 108 cv: 108 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 108 cv: 4392 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 108 cv: 4392 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1438 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 108 cv: 2954 ap: none t0: [23:00:00 05/08/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1438 ap: none t0: [23:00:00 05/08/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 108 cv: 6460 ap: none
t0: [00:07:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 114 u1: mmHg rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [00:07:00 05/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.5058 u1: ml/dl st: NotStopd t0: [00:07:00 05/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [00:07:00 05/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:33:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.7 rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.2 u1: % rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 55 rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.76 u1: /mic l rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.7 rs: Final st: NotStopd
t0: [00:33:00 05/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 19.3 rs: Final st: NotStopd t0: [00:33:00 05/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 66.4 rs: Final st: NotStopd
t0: [02:16:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.3124 u1: ml/dl st: NotStopd t0: [02:16:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.15 rs: Final st: NotStopd t0: [02:16:00 05/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [23:00:00 04/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 04/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [23:00:00 04/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [23:00:00 04/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [23:00:00 04/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [23:00:00 04/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [23:00:00 04/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 05/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [01:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 26 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4289 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN rs: Manual st: NotStopd t0: [02:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.3 t0: [02:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.5 t0: [02:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [02:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 05/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [02:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [02:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [02:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [02:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [02:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [02:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [02:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [02:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 25 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [02:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [02:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [02:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [02:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [02:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [02:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [02:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [02:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [02:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [02:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 9.25 t0: [02:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [02:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [02:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [02:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [02:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.3 u1: Deg. C st: NotStopd t0: [02:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 99.14 u1: Deg. F st: NotStopd t0: [02:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [01:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [02:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [02:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [01:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [02:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [03:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.8 t0: [03:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 7.3 t0: [03:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [03:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [03:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 842 t0: [03:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [03:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.2 u1: Deg. C st: NotStopd t0: [03:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.96 u1: Deg. F st: NotStopd t0: [03:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [03:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [03:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [02:16:00 05/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: RN v1: 1 rs: Manual st: NotStopd
t0: [23:00:00 04/08/2015] tf: [00:29:00 08/08/2015] dt: 4409 id: Gastric Emesis el: 1 cu: CCU cg: RN vo: 30 vu: ml
t0: [23:00:00 04/08/2015] dt: 24 id: Gastric Out Total el: 1 cu: CCU cg: RN pv: 30 cv: 30 ap: none
t0: [03:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [04:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [04:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Grimace Scale st: NotStopd t0: [04:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.5 t0: [04:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.9 t0: [04:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 05/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 05/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [04:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [04:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [04:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [04:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [04:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [04:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [04:00:00 05/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 931 t0: [04:00:00 05/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 05/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [04:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [04:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [04:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [04:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [04:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [04:00:00 05/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [04:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [04:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [04:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [04:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:53:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 119 u1: mmHg rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.17 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd t0: [05:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.1 t0: [05:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.3 t0: [05:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [05:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [05:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 83 u1: % st: NotStopd t0: [05:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [05:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37.1 u1: Deg. C st: NotStopd t0: [05:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.78 u1: Deg. F st: NotStopd t0: [05:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [05:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [05:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [05:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1044
t0: [05:00:00 05/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 150 vu: ml
t0: [04:00:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.8 u1: % rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.5 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [04:53:00 05/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.7839 u1: ml/dl st: NotStopd
t0: [04:00:00 05/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd
t0: [06:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.4 t0: [06:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.8 t0: [06:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [06:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [06:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 982 t0: [06:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 82 u1: % st: NotStopd t0: [06:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [06:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [06:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [06:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 05/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 13 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 16 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 97 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd
t0: [06:17:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.756 u1: ml/dl st: NotStopd t0: [06:17:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 29 u1: mmHg rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 110 u1: mmHg rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [06:17:00 05/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:00:00 05/08/2015] tf: [00:29:00 08/08/2015] dt: 4109 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 85 rs: Final st: NotStopd
t0: [07:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [07:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.2 t0: [07:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.3 t0: [07:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [07:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [07:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [07:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [07:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1048 t0: [07:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [07:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [07:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 05/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.2 t0: [08:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.4 t0: [08:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 05/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 05/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [08:00:00 05/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [08:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [08:00:00 05/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Procedural st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: Emotional Suppor st: NotStopd t0: [08:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [08:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [08:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Diff to Palpate st: NotStopd t0: [08:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Hot v2: Normal st: NotStopd t0: [08:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 05/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1044 t0: [08:00:00 05/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Hot v2: Dry st: NotStopd t0: [08:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 05/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [06:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 150 vu: ml t0: [06:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [06:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 118 vu: ml t0: [08:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [08:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [08:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [08:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:09:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.8 u1: % rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 57 rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.73 u1: /mic l rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd
t0: [08:09:00 05/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.8 rs: Final st: NotStopd t0: [08:09:00 05/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 58 rs: Final st: NotStopd
t0: [08:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [09:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4 t0: [09:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.1 t0: [09:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [09:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1133 t0: [09:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [09:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.9 t0: [10:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.9 t0: [10:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [10:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1120 t0: [10:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 80 u1: % st: NotStopd t0: [10:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [10:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [10:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [10:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:59:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [09:59:00 05/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd
t0: [12:29:00 05/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 59.4 rs: Final st: NotStopd
t0: [11:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.1 t0: [11:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6 t0: [11:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [11:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [11:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1046 t0: [11:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 80 u1: % st: NotStopd t0: [11:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.1 t0: [12:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.2 t0: [12:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [12:00:00 05/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [12:00:00 05/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 05/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [12:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 05/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 26 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [12:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [12:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [12:00:00 05/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1026 t0: [12:00:00 05/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [12:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [12:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [12:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 81 u1: % st: NotStopd t0: [12:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 05/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [12:00:00 05/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [13:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [13:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [13:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [13:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [12:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [12:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 130 vu: ml
t0: [11:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 05/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [14:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.9 t0: [14:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6 t0: [14:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [14:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 8 u1: BPM st: NotStopd t0: [14:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 79 u1: % st: NotStopd t0: [14:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [14:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [14:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [14:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 05/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [09:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [14:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN t0: [15:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.9 t0: [15:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.6 t0: [15:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [15:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [15:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [15:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1215 t0: [15:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 78 u1: % st: NotStopd t0: [15:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [16:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [16:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [16:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [16:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd
t0: [16:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [16:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [16:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [15:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.8 t0: [16:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.7 t0: [16:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [16:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [16:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1197 t0: [16:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 78 u1: % st: NotStopd t0: [16:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 05/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 05/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 25 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [12:00:00 05/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 05/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml
t0: [17:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:31:00 05/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 88 u1: mmHg rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [18:31:00 05/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.16 rs: Final st: NotStopd
t0: [16:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [16:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [16:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 05/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 05/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [16:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 05/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [16:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [16:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [16:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 05/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.8 t0: [18:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.6 t0: [18:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [18:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [18:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [18:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [18:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [18:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [18:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1197 t0: [18:00:00 05/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [18:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [18:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [18:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:34:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.8 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 34.5 u1: % rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 53 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.79 u1: /mic l rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.8 rs: Final st: NotStopd
t0: [18:34:00 05/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.6 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 55.9 rs: Final st: NotStopd
t0: [18:34:00 05/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 125 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3 u1: mEq/L rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [18:34:00 05/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd
t0: [20:00:00 05/08/2015] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 st: D/C'd
tf: [12:00:00 06/08/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Hydrocortisone Na Succ. v1: 50 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [20:00:00 05/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 05/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.1 t0: [20:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 4.7 t0: [20:00:00 05/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [20:00:00 05/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [20:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 05/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 05/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 05/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [20:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 05/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [20:00:00 05/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 05/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 05/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 05/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 05/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 05/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 05/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 05/08/2015] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 05/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 05/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [20:00:00 05/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 05/08/2015] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 05/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 05/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [20:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 05/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [20:00:00 05/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 05/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 05/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 05/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 05/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [20:00:00 05/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 05/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [20:00:00 05/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [20:00:00 05/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1370 t0: [20:00:00 05/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [20:00:00 05/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 75 u1: % st: NotStopd t0: [20:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [20:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.8 u1: Deg. C st: NotStopd t0: [20:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.24 u1: Deg. F st: NotStopd t0: [20:00:00 05/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 05/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 05/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 300 vu: ml t0: [20:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [20:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [20:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [21:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.4 t0: [22:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.2 t0: [22:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [22:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1286 t0: [22:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 78 u1: % st: NotStopd t0: [22:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [22:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.6 u1: Deg. C st: NotStopd t0: [22:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.88 u1: Deg. F st: NotStopd t0: [22:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [22:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [22:00:00 05/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [21:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 05/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.2 t0: [23:00:00 05/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 4.9 t0: [23:00:00 05/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 05/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 05/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [23:00:00 05/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [23:00:00 05/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:00:00 05/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1359 t0: [23:00:00 05/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 75 u1: % st: NotStopd t0: [23:00:00 05/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [23:00:00 05/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [23:00:00 05/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [23:00:00 05/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.3 t0: [00:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5 t0: [00:00:00 06/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 06/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [00:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [00:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 06/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [00:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 06/08/2015] tf: [00:29:00 08/08/2015] dt: 2909 id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [00:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 06/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 06/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 06/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 06/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 06/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [00:00:00 06/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 2 u1: lpm st: NotStopd t0: [00:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [00:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [00:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [00:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 06/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 06/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [00:00:00 06/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 06/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [00:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1367 t0: [00:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 06/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 76 u1: % st: NotStopd t0: [00:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [00:00:00 06/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [00:00:00 06/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [00:00:00 06/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 05/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [00:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [00:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml
t0: [00:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/08/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 06/08/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 152.8 cv: 152.8 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 109 cv: 3643.5 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 152.8 cv: 3687.3 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1260 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 152.8 cv: 2127.3 ap: none t0: [23:00:00 06/08/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1560 ap: none t0: [23:00:00 06/08/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 152.8 cv: 8587.3 ap: none
t0: [01:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [01:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [01:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [02:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.7 t0: [02:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.6 t0: [02:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [02:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [02:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [02:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [02:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1248 t0: [02:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 73 u1: % st: NotStopd t0: [02:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [02:00:00 06/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.4 u1: Deg. C st: NotStopd t0: [02:00:00 06/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.52 u1: Deg. F st: NotStopd t0: [02:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [02:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [02:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [01:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [03:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [03:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [03:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [01:30:00 06/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [01:30:00 06/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 19.1 rs: Final st: NotStopd t0: [01:30:00 06/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 60.1 rs: Final st: NotStopd
t0: [04:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4 t0: [04:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.1 t0: [04:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [04:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 06/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [04:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 06/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [04:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1051 t0: [04:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 74 u1: % st: NotStopd t0: [04:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [04:00:00 06/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.5 u1: Deg. C st: NotStopd t0: [04:00:00 06/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 97.7 u1: Deg. F st: NotStopd t0: [04:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [04:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [04:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [04:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [04:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [21:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 05/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml
t0: [04:42:00 06/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 31 u1: mmHg rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 86 u1: mmHg rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd
t0: [04:42:00 06/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:00:00 06/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Left Subclavian st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 06/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [04:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 06/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN u1: lpm st: NotStopd t0: [04:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [05:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [05:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [05:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 06/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [05:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [05:00:00 06/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [05:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [05:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [05:00:00 06/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [05:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 06/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [05:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [05:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [05:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 29 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [05:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [05:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [05:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [05:00:00 06/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [05:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 06/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [05:00:00 06/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [05:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [05:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [05:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [05:00:00 06/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [05:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 77 u1: % st: NotStopd t0: [05:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [05:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 06/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [05:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml
t0: [05:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 06/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.8 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.6 u1: % rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.2 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.85 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 7.8 rs: Final st: NotStopd t0: [04:42:00 06/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 16.1242 u1: ml/dl st: NotStopd
t0: [06:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 3.8 t0: [06:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 5.7 t0: [06:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 27 u1: mmHg v2: 13 u2: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [06:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [06:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1174 t0: [06:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 77 u1: % st: NotStopd t0: [06:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Blood st: NotStopd t0: [06:00:00 06/08/2015] id: Temperature C el: 0 cu: CCU cg: RN v1: 36.7 u1: Deg. C st: NotStopd t0: [06:00:00 06/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: RN v1: 98.06 u1: Deg. F st: NotStopd t0: [06:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:00:00 06/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.4 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.9 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 60.4 rs: Final st: NotStopd
t0: [06:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [06:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [04:00:00 06/08/2015] id: ALT Enzymes el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: AST Enzymes el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Albumin (>3.2) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Alk. Phosphate Enzymes el: 0 cu: CCU cg: 140 v1: 88 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 18 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 113 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.1 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [04:00:00 06/08/2015] id: Total Bili (0-1.5) Chemistry el: 0 cu: CCU cg: 140 v1: 0.3 rs: Final st: NotStopd
t0: [04:00:00 06/08/2015] tf: [00:29:00 08/08/2015] dt: 2669 id: Vancomycin/Trough Drug Level el: 0 cu: CCU cg: 140 v1: 8.2 rs: Final st: NotStopd
t0: [08:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.3 t0: [08:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.5 t0: [08:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [08:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 30 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [08:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1156 t0: [08:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 75 u1: % st: NotStopd t0: [08:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7778 u1: Deg. C st: NotStopd t0: [08:00:00 06/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.2 u1: Deg. F st: NotStopd t0: [08:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [08:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [08:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [08:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 06/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 06/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [08:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 06/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/08/2015] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [08:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 06/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 06/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 06/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [08:00:00 06/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 6-Mod to Severe st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [08:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [08:00:00 06/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 06/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [08:00:00 06/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 06/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: RN v1: Intact v2: Intact st: NotStopd t0: [08:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [08:00:00 06/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 06/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [08:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 06/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 06/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 06/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [09:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [09:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [09:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 06/08/2015] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [10:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 06/08/2015] id: CCI el: 0 cu: CCU cg: RN v1: 4.3 t0: [10:00:00 06/08/2015] id: CCO el: 0 cu: CCU cg: RN v1: 6.5 t0: [10:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [10:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [10:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [10:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [10:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [10:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [10:00:00 06/08/2015] id: SVR el: 1 cu: CCU cg: RN v1: 1158 t0: [10:00:00 06/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: RN v1: 76 u1: % st: NotStopd t0: [10:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [11:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [11:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [11:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [11:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [10:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [10:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [09:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
pt: TPN
t0: [11:46:00 06/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 55.9 rs: Final st: NotStopd
t0: [11:46:00 06/08/2015] tf: [00:29:00 08/08/2015] dt: 2203 id: Vancomycin/Peak Drug Level el: 0 cu: CCU cg: 140 v1: 50.1 rs: Final st: NotStopd
tf: [08:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 17, 5 dn: 2 m1: Linezolid v1: 600 u1: mg m2: D5W v2: 300 u2: ml tf: [08:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 17, 5 dn: 2 m1: Linezolid v1: 600 u1: mg m2: D5W v2: 300 u2: ml
t0: [12:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 06/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 06/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [12:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [12:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [12:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [12:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [12:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [12:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [12:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [12:00:00 06/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [12:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [13:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 28 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [13:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [13:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [13:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [14:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [14:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 34 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [14:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [14:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [14:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/08/2015] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [15:00:00 06/08/2015] id: PAP S/D el: 0 cu: CCU cg: RN v1: 31 u1: mmHg v2: 14 u2: mmHg st: NotStopd t0: [15:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 127 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [15:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [15:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [15:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [16:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 06/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 06/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [16:00:00 06/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [16:00:00 06/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [16:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [16:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [16:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [16:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 06/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [16:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [16:00:00 06/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [16:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [16:00:00 06/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 06/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [17:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [17:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 142 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [17:00:00 06/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [17:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [17:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [17:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [17:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [17:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [12:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [14:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [14:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 400 vu: ml t0: [14:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 32 vu: ml t0: [14:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml t0: [16:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [16:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [16:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml
t0: [12:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [13:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [14:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [15:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [17:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 5-Moderate st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 06/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [18:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 5-Moderate st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 06/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [18:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [18:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [18:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [18:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [18:09:00 06/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 32 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 65 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [18:09:00 06/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 0.6 rs: Final st: NotStopd
t0: [18:00:00 06/08/2015] id: Gastric Emesis el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [23:00:00 06/08/2015] dt: 24 id: Gastric Out Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [18:22:00 06/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 49.3 rs: Final st: NotStopd
t0: [20:00:00 06/08/2015] id: Follows Commands el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: LL Strength/Movement el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: LU Strength/Movement el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: RL Strength/Movement el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: RLE/LLE Sensation el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: RU Strength/Movement el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: RUE/LUE Sensation el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 06/08/2015] id: Spontaneous Movement el: 0 cu: CCU cg: -1 st: D/C'd
tf: [10:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: Q8H fs: 12, 20, 4 dn: 3 m1: Hydrocortisone Na Succ. v1: 25 u1: mg m2: Syringe v2: 1 u2: SYR
t0: [14:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm st: NotStopd t0: [19:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [19:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [19:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [19:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [19:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [20:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 133 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [20:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [20:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [21:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [21:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 06/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:00:00 06/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [21:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 06/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [21:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 06/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 06/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 06/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [21:00:00 06/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [21:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [21:00:00 06/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 06/08/2015] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 06/08/2015] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 06/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [21:00:00 06/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [21:00:00 06/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [21:00:00 06/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 06/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 06/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 06/08/2015] id: AntiEmbDevice/Status el: 0 cu: CCU cg: RN v1: None/Remarks st: NotStopd t0: [21:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [21:00:00 06/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [21:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [21:00:00 06/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [21:00:00 06/08/2015] id: Assistance Device el: 0 cu: CCU cg: RN v1: Supervised st: NotStopd t0: [21:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 06/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [21:00:00 06/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [21:00:00 06/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [21:00:00 06/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [21:00:00 06/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 06/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 06/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [21:00:00 06/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 06/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [21:00:00 06/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [21:00:00 06/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 06/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 06/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: No Limitations st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [21:00:00 06/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 17 u1: number st: NotStopd t0: [21:00:00 06/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd
t0: [20:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [20:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [21:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 300 vu: ml t0: [21:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [21:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml
t0: [19:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [20:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip
io: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 48.3 ru: ml/hr
id: TPN el: 1 cu: CCU cg: RN io: TPN 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 06/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [21:00:00 06/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 26 st: NotStopd t0: [21:00:00 06/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [21:00:00 06/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 06/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 06/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [21:00:00 06/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 06/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 06/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6111 u1: Deg. C st: NotStopd t0: [21:00:00 06/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.9 u1: Deg. F st: NotStopd t0: [21:00:00 06/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [21:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml
t0: [21:30:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [22:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [22:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [22:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [22:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8.5 vu: ml t0: [22:00:00 06/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 0 vu: ml nb: 1
t0: [22:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
tf: [12:00:00 07/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml tf: [21:00:00 07/08/2015] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 22 dn: 1 m1: Lorazepam v1: 1 u1: mg
t0: [23:00:00 06/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [23:00:00 06/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 06/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [23:00:00 06/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 06/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 06/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [23:00:00 06/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 06/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:00:00 06/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [23:00:00 06/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 06/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 06/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [00:00:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [00:00:00 07/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [00:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [00:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [00:00:00 07/08/2015] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [00:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Introducer v2: Left Subclavian st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [00:00:00 07/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 26 st: NotStopd t0: [00:00:00 07/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 07/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 07/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 07/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [00:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 07/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [00:00:00 07/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [00:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [00:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [00:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 95 u1: mmHg st: NotStopd t0: [00:00:00 07/08/2015] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [00:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 07/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 07/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [00:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 07/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 07/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 07/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [00:00:00 07/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 07/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [00:00:00 07/08/2015] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [00:00:00 07/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [00:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 06/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [22:00:00 06/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [23:00:00 06/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [23:00:00 06/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [00:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [00:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [00:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [23:00:00 06/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/08/2015] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN pv: 43.8 cv: 43.8 ap: none t0: [23:00:00 07/08/2015] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 07/08/2015] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 3341 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: IV Nutrition Total el: 1 cu: CCU cg: RN cv: 1022.3 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 4363.3 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1270 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 3093.3 ap: none t0: [23:00:00 07/08/2015] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1270 ap: none t0: [23:00:00 07/08/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 11680.6 ap: none
t0: [01:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [01:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [01:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [01:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [01:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [01:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [01:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [02:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [02:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [02:00:00 07/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [02:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [02:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [02:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [02:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [02:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 07/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [02:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [02:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [02:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 07/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 07/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 06/08/2015] tf: [00:29:00 08/08/2015] dt: 1529 id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml t0: [00:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml t0: [01:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [01:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [01:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml t0: [02:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [02:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [02:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 48.3 vu: ml t0: [02:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [01:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [02:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [03:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [03:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [03:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [03:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [03:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [03:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [03:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml
t0: [03:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [03:54:00 07/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: CaO2 el: 0 cu: CCU cg: 140 v1: 15.7352 u1: ml/dl st: NotStopd t0: [03:54:00 07/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 66 u1: mmHg rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Ionized Calcium Chemistry el: 0 cu: CCU cg: 140 v1: 1.14 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.2 rs: Final st: NotStopd t0: [03:54:00 07/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 95 u1: % rs: Final st: NotStopd
t0: [04:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [04:00:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [04:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [04:00:00 07/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [04:00:00 07/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [04:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [04:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [04:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [04:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [04:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 07/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Firm st: NotStopd t0: [04:00:00 07/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 07/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [04:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [04:00:00 07/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [04:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [04:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [04:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [04:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 07/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [04:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 07/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 07/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [04:00:00 07/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [04:00:00 07/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [04:00:00 07/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 07/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 07/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.7222 u1: Deg. C st: NotStopd t0: [04:00:00 07/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.1 u1: Deg. F st: NotStopd t0: [04:00:00 07/08/2015] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow st: NotStopd t0: [04:00:00 07/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [04:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 07/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [04:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [04:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml t0: [04:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml
t0: [04:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:25:00 07/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 4.5 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 35.2 u1: % rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 12.4 u1: gm/dl rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 37 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.8 u1: /mic l rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 4.5 rs: Final st: NotStopd
t0: [04:25:00 07/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 22.7 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 69 rs: Final st: NotStopd
t0: [04:25:00 07/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 117 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.6 u1: mEq/L rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [04:25:00 07/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 133 rs: Final st: NotStopd
t0: [06:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [06:23:00 07/08/2015] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [06:23:00 07/08/2015] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [06:23:00 07/08/2015] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [06:23:00 07/08/2015] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 34 u1: mmHg rs: Final st: NotStopd t0: [06:23:00 07/08/2015] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 68 u1: mmHg rs: Final st: NotStopd t0: [06:23:00 07/08/2015] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd
t0: [06:23:00 07/08/2015] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd
t0: [05:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [05:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [05:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [05:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [05:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [06:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [06:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [06:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [06:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 9 u1: BPM st: NotStopd t0: [06:00:00 07/08/2015] id: Urine Source el: 0 cu: CCU cg: RN st: NotStopd t0: [06:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [05:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [05:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml t0: [06:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 100 vu: ml t0: [06:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 9 vu: ml t0: [06:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 43.8 vu: ml
t0: [05:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 07/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [08:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 07/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [08:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [08:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [08:00:00 07/08/2015] id: Pain Cause el: 0 cu: CCU cg: RN v1: At Rest st: NotStopd t0: [08:00:00 07/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 2-Mild st: NotStopd t0: [08:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [08:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Dull st: NotStopd t0: [08:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [08:00:00 07/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 07/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [08:00:00 07/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.6 u1: Deg. F st: NotStopd t0: [08:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [09:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [09:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [09:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [09:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [09:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [10:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [10:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [10:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [10:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [11:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [11:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [11:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [11:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 101 u1: mmHg st: NotStopd t0: [11:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [12:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [12:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [12:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [12:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip t0: [12:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:46:00 07/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 79.4 rs: Final st: NotStopd
t0: [13:00:00 07/08/2015] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: Cardiac Index el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: PAP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: PAP S/D el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: PCWP el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: PVR el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: SVR el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: Swan SVO2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: C.O. (fick) el: 0 cu: CCU cg: -1 st: D/C'd t0: [13:00:00 07/08/2015] id: C.O.(thermodilution) el: 0 cu: CCU cg: -1 st: D/C'd
pt: TPN
t0: [13:11:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 678 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [10:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [12:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 07/08/2015] id: Daily Wake Up el: 1 cu: CCU cg: RN v1: No/Not Sedated st: NotStopd t0: [12:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [12:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Dull st: NotStopd t0: [13:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [13:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [13:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 58 u1: BPM st: NotStopd t0: [13:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 135 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [13:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [13:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [08:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18 vu: ml t0: [08:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 87.6 vu: ml t0: [10:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 130 vu: ml t0: [12:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 400 vu: ml t0: [12:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 36 vu: ml t0: [12:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 175.2 vu: ml
t0: [13:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [08:00:00 07/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [08:00:00 07/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm st: NotStopd t0: [08:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 07/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 07/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [08:00:00 07/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 07/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 07/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 07/08/2015] id: Skin Color el: 0 cu: CCU cg: RN v1: Normal for Race st: NotStopd t0: [08:00:00 07/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 07/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: RN v1: Warm v2: Dry st: NotStopd t0: [08:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Very Poor st: NotStopd t0: [08:00:00 07/08/2015] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [08:00:00 07/08/2015] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: No Impairment st: NotStopd t0: [12:00:00 07/08/2015] id: GI Prophylaxis el: 0 cu: CCU cg: RN v1: Proton/Pump/Inhi st: NotStopd t0: [12:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [12:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [12:00:00 07/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Tender st: NotStopd t0: [12:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [12:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 07/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 07/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 07/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [12:00:00 07/08/2015] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [14:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [14:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [14:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [14:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 102 u1: mmHg st: NotStopd t0: [14:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 300 vu: ml t0: [12:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [14:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 200 vu: ml t0: [14:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [14:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 87.6 vu: ml t0: [14:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml
t0: [14:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [15:29:00 07/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.1 u1: % rs: Final st: NotStopd t0: [15:29:00 07/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 87 rs: Final st: NotStopd
t0: [15:29:00 07/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.3 rs: Final st: NotStopd t0: [15:29:00 07/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 18.6 rs: Final st: NotStopd t0: [15:29:00 07/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 36.5 rs: Final st: NotStopd
tf: [17:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
io: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ra: 10 ru: ml/hr
tf: [17:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [17:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 50 u2: ml tf: [17:00:00 08/08/2015] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride v1: 60 u1: mEq m2: SW v2: 50 u2: ml tf: [17:00:00 08/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 18 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
id: .9% Normal Saline el: 3 cu: CCU cg: RN io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [14:00:00 07/08/2015] id: Pain Level el: 0 cu: CCU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [14:00:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [14:00:00 07/08/2015] id: Riker-SAS Scale el: 0 cu: CCU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Level (Rest) el: 0 cu: CCU cg: RN v1: 7-Mod to Severe st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [14:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [15:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [15:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [15:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [15:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [15:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [15:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:40:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:40:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [15:40:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [15:40:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [15:40:00 07/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [15:40:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [16:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [16:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [16:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [16:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [16:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [16:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 143 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [16:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [16:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:00:00 07/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 07/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 07/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [16:00:00 07/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [16:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [17:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 11 u1: BPM st: NotStopd t0: [17:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [17:30:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [17:30:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Runs Vtach st: NotStopd t0: [17:30:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [17:30:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [17:30:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [17:30:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [17:30:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:30:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [18:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 56 u1: BPM st: NotStopd t0: [18:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [18:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [18:00:00 07/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [18:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [18:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [18:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [16:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 120 vu: ml t0: [16:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [16:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 87.6 vu: ml t0: [16:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [18:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 150 vu: ml t0: [18:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 120 vu: ml t0: [18:00:00 07/08/2015] id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [18:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml t0: [18:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 87.6 vu: ml t0: [18:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [15:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [16:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [17:30:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip t0: [18:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 07/08/2015] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Range of Motion el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: NBP el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: NBP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Position Change el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Reason For Restraint el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Restraint Type el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Restraints Evaluated el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Temperature C el: 0 cu: CCU cg: -1 st: D/C'd t0: [19:00:00 07/08/2015] id: Temperature F (calc) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 07/08/2015] id: Skin Color el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 07/08/2015] id: Skin Temp/Condition el: 0 cu: CCU cg: -1 st: D/C'd t0: [20:00:00 07/08/2015] id: Untoward Effect el: 0 cu: CCU cg: -1 st: D/C'd
t0: [20:00:00 07/08/2015] id: Pain Level/Response el: 0 cu: CCU cg: RN v1: 3-Mild to Mod st: NotStopd t0: [20:00:00 07/08/2015] id: Pain Present el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 07/08/2015] id: Pain Assess Method el: 0 cu: CCU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 07/08/2015] id: PainLevel Acceptable el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [20:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 07/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [20:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 07/08/2015] id: GU Catheter Size el: 0 cu: CCU cg: RN v1: 14 French st: NotStopd t0: [20:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 07/08/2015] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 6 v2: 27 st: NotStopd t0: [20:00:00 07/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [20:00:00 07/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 07/08/2015] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 07/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 26 st: NotStopd t0: [20:00:00 07/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 07/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2015] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 141 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:00:00 07/08/2015] id: Pain Location el: 0 cu: CCU cg: RN v1: Abdominal st: NotStopd t0: [20:00:00 07/08/2015] id: Pain Management el: 1 cu: CCU cg: RN v1: IV Push st: NotStopd t0: [20:00:00 07/08/2015] id: Pain Type el: 0 cu: CCU cg: RN v1: Constant st: NotStopd t0: [20:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [20:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 07/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 07/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 07/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 07/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 07/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [20:00:00 07/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [20:00:00 07/08/2015] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/08/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 07/08/2015] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 400 vu: ml t0: [20:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 120 vu: ml t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: .9% Normal Saline 1000.0ml IV Infusions el: 3 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8 vu: ml t0: [20:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 92.8 vu: ml t0: [20:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml
t0: [20:00:00 07/08/2015] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: GU Cath Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [20:00:00 07/08/2015] id: LLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/08/2015] id: LUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/08/2015] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [20:00:00 07/08/2015] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/08/2015] id: RUE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [20:00:00 07/08/2015] tf: [00:29:00 08/08/2015] dt: 269 id: Radial Pulse R/L el: 0 cu: CCU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd
t0: [20:28:00 07/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.7 u1: % rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.2 u1: gm/dl rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 78 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.57 u1: /mic l rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 2.7 rs: Final st: NotStopd
t0: [20:28:00 07/08/2015] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 2.5 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 19.5 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 55.1 rs: Final st: NotStopd
t0: [20:28:00 07/08/2015] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.5 u1: mg/dl rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 121 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.7 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 rs: Final st: NotStopd t0: [20:28:00 07/08/2015] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 137 rs: Final st: NotStopd
t0: [22:00:00 07/08/2015] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 6 v2: 27 st: NotStopd t0: [22:00:00 07/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [22:00:00 07/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [22:00:00 07/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2015] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 07/08/2015] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 07/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [22:00:00 07/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/08/2015] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 07/08/2015] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [22:00:00 07/08/2015] id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 6 v2: 27 st: NotStopd t0: [22:00:00 07/08/2015] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Left Subclavian st: NotStopd t0: [22:00:00 07/08/2015] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 6 v2: 24 st: NotStopd t0: [22:00:00 07/08/2015] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 6 v2: 26 st: NotStopd t0: [22:00:00 07/08/2015] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [22:00:00 07/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 07/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 07/08/2015] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [22:00:00 07/08/2015] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 07/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2015] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 07/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [22:00:00 07/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [22:00:00 07/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 07/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 07/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 07/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 07/08/2015] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/08/2015] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 07/08/2015] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [22:00:00 07/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 07/08/2015] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 07/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 07/08/2015] id: Behavior el: 0 cu: CCU cg: RN v1: Appropriate st: NotStopd
t0: [22:00:00 07/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [22:00:00 07/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 120 vu: ml t0: [22:00:00 07/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 16 vu: ml t0: [22:00:00 07/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 92.8 vu: ml t0: [22:00:00 07/08/2015] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [20:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 800 du: Uhr sv: 250 su: ml rt: IV Drip t0: [22:00:00 07/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 08/08/2015] id: Service Type el: 0 cu: CCU cg: RN v1: CSICU st: NotStopd t0: [00:00:00 08/08/2015] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 08/08/2015] id: Risk for Falls el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [00:00:00 08/08/2015] id: Diet Type el: 0 cu: CCU cg: RN v1: NPO st: NotStopd t0: [00:00:00 08/08/2015] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2015] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2015] id: Emesis Appearance/ph el: 0 cu: CCU cg: RN v1: Bilious st: NotStopd t0: [00:00:00 08/08/2015] id: Heart Rate el: 0 cu: CCU cg: RN v1: 55 u1: BPM st: NotStopd t0: [00:00:00 08/08/2015] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 08/08/2015] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/08/2015] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/08/2015] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 08/08/2015] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 08/08/2015] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [00:00:00 08/08/2015] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 08/08/2015] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/08/2015] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 08/08/2015] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 08/08/2015] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [00:00:00 08/08/2015] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 08/08/2015] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [00:00:00 08/08/2015] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 31 u1: Deg. C st: NotStopd t0: [00:00:00 08/08/2015] id: Temperature F el: 0 cu: CCU cg: RN v1: 87.8 u1: Deg. F st: NotStopd t0: [00:00:00 08/08/2015] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 08/08/2015] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [00:00:00 08/08/2015] id: Lactated Ringers IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 120 vu: ml t0: [00:00:00 08/08/2015] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18 vu: ml t0: [00:00:00 08/08/2015] id: TPN 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 92.8 vu: ml t0: [00:00:00 08/08/2015] id: Gastric Emesis el: 1 cu: CCU cg: RN vo: 75 vu: ml
t0: [00:00:00 08/08/2015] id: Heparin el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 900 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 08/08/2015] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 08/08/2015] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: Gastric Out Total el: 1 cu: -1 cg: RN cv: 75 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 238 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: IV Nutrition Total el: 1 cu: -1 cg: RN cv: 92.8 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 330.8 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: 255.8 ap: none t0: [23:00:00 08/08/2015] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 75 ap: none t0: [23:00:00 08/08/2015] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 11936.4 ap: none
tf: [10:00:00 08/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 75 u1: mg tf: [09:00:00 11/08/2015] pt: IV Piggyback rt: IV fr: QD fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 15 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [09:00:00 11/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 75 u1: mg
pt: TPN tf: [10:00:00 09/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 11 dn: 1 m1: Potassium Chloride v1: 40 u1: mEq m2: SW v2: 100 u2: ml tf: [10:00:00 09/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 11 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [11:00:00 09/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [08:00:00 10/08/2015] pt: Unit Dose rt: IV fr: HS fs: 22 dn: 1 m1: Diphenhydramine HCl v1: 25 u1: mg
pt: TPN
tf: [11:00:00 09/08/2015] pt: Unit Dose rt: PR fr: ONCE fs: 10 dn: 1 m1: Bisacodyl (Rectal) v1: 10 u1: mg tf: [09:00:00 10/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg
tf: [18:00:00 09/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [18:00:00 10/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 19 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [18:00:00 10/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Calcium Gluconate v1: 2 u1: gm tf: [18:00:00 10/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 19 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm tf: [10:00:00 12/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [19:00:00 10/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 10 dn: 1 m1: Warfarin v1: 5 u1: mg
tf: [08:00:00 11/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Potassium Chloride v1: 20 u1: mEq m2: SW v2: 50 u2: ml tf: [08:00:00 11/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [08:00:00 11/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 9 dn: 1 m1: Magnesium Oxide v1: 400 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl v1: 25 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: Q24H fs: 9 dn: 1 m1: Levofloxacin v1: 500 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: Q24H fs: 9 dn: 1 m1: Pantoprazole v1: 40 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen v1: 1-2 u1: TAB
tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Levothyroxine Sodium v1: 75 u1: mcg
pt: TPN
tf: [20:00:00 16/08/2015] pt: IV Piggyback rt: IV fr: Q12H fs: 8, 20 dn: 2 m1: Linezolid v1: 600 u1: mg m2: D5W v2: 300 u2: ml tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metronidazole v1: 500 u1: mg
tf: [21:00:00 11/08/2015] pt: Unit Dose rt: PO fr: HS fs: 22 dn: 1 m1: Warfarin v1: 5 u1: mg
pt: TPN
tf: [09:00:00 12/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 10 dn: 1 m1: Methylprednisolone Na Succ. v1: 15 u1: mg m2: Syringe (IV Room) v2: 1 u2: SYR tf: [09:00:00 12/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 10 dn: 1 m1: Furosemide v1: 20 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Azathioprine v1: 75 u1: mg tf: [20:00:00 16/08/2015] pt: Unit Dose rt: PO fr: QOD m1: Prednisone v1: 10 u1: mg
tf: [18:00:00 12/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 19 dn: 1 m1: Warfarin v1: 5 u1: mg
tf: [10:00:00 13/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 11 dn: 1 m1: Warfarin v1: 7.5 u1: mg tf: [18:00:00 13/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [18:00:00 13/08/2015] pt: IV Large Volume rt: IV fr: ONCE fs: 19 dn: 1 m1: Multivitamin 12 v1: 10 u1: ml m2: Travasol 4.25% W/ Dextrose 5% v2: 1000 u2: ml
tf: [08:00:00 14/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 2 u1: gm
pt: TPN
tf: [02:00:00 14/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [09:00:00 14/08/2015] pt: IV Piggyback rt: IV fr: ASDIR m1: Heparin Sodium v1: 25000 u1: UNIT m2: D5W v2: 250 u2: ml
tf: [10:00:00 15/08/2015] pt: Unit Dose rt: PO fr: ONCE fs: 18 dn: 1 m1: Warfarin v1: 2 u1: mg
tf: [09:00:00 16/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 1 u1: gm tf: [20:00:00 16/08/2015] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm
tf: [20:00:00 16/08/2015] pt: IV Piggyback rt: IV fr: ONCE fs: 9 dn: 1 m1: Magnesium Sulfate v1: 3 u1: gm m2: D5W v2: 250 u2: ml
dd: V5861 ds: 1 ld: LONG-TERM USE ANTICOAGUL
dd: V5861 ds: 1 ld: LONG-TERM USE ANTICOAGUL
dd: 0380 ds: 2 ld: STREPTOCOCCAL SEPTICEMIA dd: 1125 ds: 3 ld: DISSEMINATED CANDIDIASIS dd: 2800 ds: 5 ld: CHR BLOOD LOSS ANEMIA dd: 4439 ds: 8 ld: PERIPH VASCULAR DIS NOS dd: 53081 ds: 9 ld: ESOPHAGEAL REFLUX dd: 7806 ds: 1 ld: FEVER dd: 78791 ds: 2 ld: DIARRHEA dd: 9961 ds: 6 ld: MALFUNC VASC DEVICE/GRAF dd: 99662 ds: 1 ld: INFECT DUE TO VASCULAR G dd: 9986 ds: 7 ld: PERSIST POSTOP FISTULA dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 00845 ds: 1 ld: INTESTIN INF CLOSTRIOIUM dd: 2449 ds: 5 ld: HYPOTHYROIDISM NOS dd: 2765 ds: 2 ld: HYPOVOLEMIA dd: 4439 ds: 6 ld: PERIPH VASCULAR DIS NOS dd: 5302 ds: 8 ld: ULCER OF ESOPHAGUS dd: 53081 ds: 7 ld: ESOPHAGEAL REFLUX dd: 78907 ds: 1 ld: ABDOMIN PAIN GENERALIZED dd: 99681 ds: 3 ld: COMPLIC KIDNEY TRANSPLAN dd: E8780 ds: 4 ld: ABN REACT-ORG TRANSPLANT dd: V444 ds: 9 ld: ENTEROSTOMY STATUS NEC
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 3669 ds: 6 ld: CATARACT NOS dd: 4409 ds: 3 ld: ATHEROSCLEROSIS NOS dd: 53081 ds: 4 ld: ESOPHAGEAL REFLUX dd: 73390 ds: 5 ld: BONE & CARTILAGE DIS NOS dd: V7644 ds: 2 ld: SCREEN MAL NEO-PROSTATE dd: V7651 ds: 1 ld: SPEC SCRN MALIG NEO COLO
dd: 591 ds: 1 ld: HYDRONEPHROSIS dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 7020 ds: 1 ld: ACTINIC KERATOSIS dd: 70219 ds: 2 ld: OTHER SEBORRHEIC KERATOS
dd: 6089 ds: 2 ld: MALE GENITAL DIS NOS dd: V4289 ds: 1 ld: OTH ORG TISS REPL TRANS
dd: V0481 ds: 1 ld: NEED FOR PROPHYLACTIC VA
dd: 2449 ds: 7 ld: HYPOTHYROIDISM NOS dd: 4439 ds: 4 ld: PERIPH VASCULAR DIS NOS dd: 53081 ds: 5 ld: ESOPHAGEAL REFLUX dd: 73300 ds: 6 ld: OSTEOPOROSIS NOS dd: V700 ds: 1 ld: ROUTINE MEDICAL EXAM dd: V7644 ds: 3 ld: SCREEN MAL NEO-PROSTATE dd: V7651 ds: 2 ld: SPEC SCRN MALIG NEO COLO
dd: 6089 ds: 1 ld: MALE GENITAL DIS NOS
dd: 2449 ds: 4 ld: HYPOTHYROIDISM NOS dd: 2720 ds: 3 ld: PURE HYPERCHOLESTEROLEM dd: 4292 ds: 1 ld: ASCVD dd: 5693 ds: 2 ld: RECTAL & ANAL HEMORRHAGE
dd: 2449 ds: 4 ld: HYPOTHYROIDISM NOS dd: 2720 ds: 3 ld: PURE HYPERCHOLESTEROLEM dd: 4292 ds: 1 ld: ASCVD dd: 5693 ds: 2 ld: RECTAL & ANAL HEMORRHAGE
dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 2449 ds: 2 ld: HYPOTHYROIDISM NOS dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 2859 ds: 1 ld: ANEMIA NOS dd: 53085 ds: 2 ld: BARRETT'S ESOPHAGUS dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS dd: V5866 ds: 4 ld: LONG-TERM (CURRENT) USE
dd: V0481 ds: 1 ld: NEED FOR PROPHYLACTIC VA
dd: 2809 ds: 1 ld: IRON DEFIC ANEMIA NOS
dd: 2859 ds: 1 ld: ANEMIA NOS dd: 5939 ds: 2 ld: RENAL & URETERAL DIS NOS dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2762 ds: 7 ld: ACIDOSIS dd: 27652 ds: 6 ld: HYPOVOLEMIA dd: 2848 ds: 2 ld: APLASTIC ANEMIAS NEC dd: 51889 ds: 8 ld: OTHER LUNG DISEASE NEC dd: 53081 ds: 9 ld: ESOPHAGEAL REFLUX dd: 5859 ds: 5 ld: CHRONIC KIDNEY, DISEASE, dd: 5990 ds: 3 ld: URIN TRACT INFECTION NOS dd: 99681 ds: 4 ld: COMPLIC KIDNEY TRANSPLAN dd: E8780 ds: 10 ld: ABN REACT-ORG TRANSPLANT dd: E9331 ds: 11 ld: ADV EFF ANTINEOPLASTIC
dd: 2809 ds: 2 ld: IRON DEFIC ANEMIA NOS dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 2899 ds: 1 ld: BLOOD DISEASE NOS
dd: 2809 ds: 2 ld: IRON DEFIC ANEMIA NOS dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 78791 ds: 2 ld: DIARRHEA dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 0088 ds: 1 ld: VIRAL ENTERITIS NOS dd: 2387 ds: 5 ld: LYMPHOPROLIFERAT DIS NOS dd: 2720 ds: 4 ld: PURE HYPERCHOLESTEROLEM dd: 28522 ds: 7 ld: ANEMIA IN NEOPLASTIC DIS dd: 53081 ds: 3 ld: ESOPHAGEAL REFLUX dd: E9331 ds: 6 ld: ADV EFF ANTINEOPLASTIC dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 2859 ds: 1 ld: ANEMIA NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 566 ds: 2 ld: ANAL & RECTAL ABSCESS dd: 7806 ds: 1 ld: FEVER
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 1 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 1 ld: ANEMIA IN NEOPLASTIC DIS dd: 28522 ds: 3 ld: ANEMIA IN NEOPLASTIC DIS dd: 2899 ds: 2 ld: BLOOD DISEASE NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2468 ds: 3 ld: DISORDERS OF THYROID NEC dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2899 ds: 2 ld: BLOOD DISEASE NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 1 ld: ANEMIA IN NEOPLASTIC DIS dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 5 ld: LYMPHOPROLIFERAT DIS NOS dd: 2440 ds: 6 ld: POSTSURGICAL HYPOTHYROID dd: 4439 ds: 7 ld: PERIPH VASCULAR DIS NOS dd: 53081 ds: 3 ld: ESOPHAGEAL REFLUX dd: 5559 ds: 2 ld: REGIONAL ENTERITIS NOS dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 5 ld: LYMPHOPROLIFERAT DIS NOS dd: 2440 ds: 6 ld: POSTSURGICAL HYPOTHYROID dd: 4439 ds: 7 ld: PERIPH VASCULAR DIS NOS dd: 53081 ds: 3 ld: ESOPHAGEAL REFLUX dd: 5559 ds: 2 ld: REGIONAL ENTERITIS NOS dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 4 ld: KIDNEY TRANSPLANT STATUS
dd: 2382 ds: 2 ld: UNC BEHAV NEO SKIN dd: 2387 ds: 3 ld: LYMPHOPROLIFERAT DIS NOS dd: V582 ds: 1 ld: BLOOD TRANSFUSION, NO DX
dd: 78701 ds: 2 ld: NAUSEA WITH VOMITING dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 8 ld: LYMPHOPROLIFERAT DIS NOS dd: 2749 ds: 5 ld: GOUT NOS dd: 3051 ds: 7 ld: TOBACCO USE DISORDER dd: 53081 ds: 4 ld: ESOPHAGEAL REFLUX dd: 5856 ds: 2 ld: END STAGE RENAL DISEASE dd: 5990 ds: 1 ld: URIN TRACT INFECTION NOS dd: 78909 ds: 1 ld: ABDOMIN PAIN OTHR SPEC S dd: V1083 ds: 6 ld: HX-SKIN MALIGNANCY NEC dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS dd: V420 ds: 3 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 7830 ds: 2 ld: ANOREXIA
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 1 ld: ANEMIA IN NEOPLASTIC DIS dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2389 ds: 1 ld: UNCERT BEHAVIOR NEO NOS dd: 2389 ds: 2 ld: UNCERT BEHAVIOR NEO NOS
dd: 2559 ds: 5 ld: ADRENAL DISORDER N0S dd: 2859 ds: 6 ld: ANEMIA NOS dd: 4928 ds: 3 ld: EMPHYSEMA NEC dd: 515 ds: 1 ld: POSTINFLAM PULM FIBROSIS dd: 5180 ds: 2 ld: PULMONARY COLLAPSE dd: 587 ds: 4 ld: RENAL SCLEROSIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2389 ds: 3 ld: UNCERT BEHAVIOR NEO NOS dd: 2859 ds: 2 ld: ANEMIA NOS
dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 1 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS dd: 71906 ds: 3 ld: JOINT EFFUSION-L/LEG dd: 71946 ds: 4 ld: JOINT PAIN-L/LEG
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 2389 ds: 1 ld: UNCERT BEHAVIOR NEO NOS dd: 2389 ds: 3 ld: UNCERT BEHAVIOR NEO NOS dd: 78079 ds: 2 ld: OTHER MALAISE & FATIGUE
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 27651 ds: 3 ld: DEHYDRATION dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 566 ds: 1 ld: ANAL & RECTAL ABSCESS dd: V420 ds: 2 ld: KIDNEY TRANSPLANT STATUS
dd: 2382 ds: 1 ld: UNC BEHAV NEO SKIN dd: 2382 ds: 3 ld: UNC BEHAV NEO SKIN dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 7881 ds: 1 ld: DYSURIA
dd: V420 ds: 1 ld: KIDNEY TRANSPLANT STATUS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS dd: 28522 ds: 2 ld: ANEMIA IN NEOPLASTIC DIS
dd: 2387 ds: 1 ld: LYMPHOPROLIFERAT DIS NOS
dd: 7881 ds: 1 ld: DYSURIA
dd: 2387 ds: 2 ld: LYMPHOPROLIFERAT DIS NOS dd: 2389 ds: 1 ld: UNCERT BEHAVIOR NEO NOS dd: 28522 ds: 3 ld: ANEMIA IN NEOPLASTIC DIS