This log is also available as text (s23641.txt) and as a (binary) annotation file (s23641.log).
Generated: Monday, 07-Jun-2010 13:20:41 EDT
(All dates below are surrogates.)
t0: [01:41:29 01/07/2014] tf: [17:11:05 06/07/2014] id: a40050 [view]
t0: [17:43:59 01/07/2014] tf: [17:42:59 07/07/2014] id: a40050n [view]
dd: 41091 ds: 1 ld: AMI, UNSPEC SITE, INITAL
dd: 4019 ds: 8 ld: HYPERTENSION NOS dd: 41031 ds: 1 ld: AMI INFEROPOST WALL INIT dd: 41401 ds: 7 ld: CORON ATHEROSCLER NATIVE dd: 4260 ds: 2 ld: ATRIOVENT BLOCK COMPLETE dd: 4271 ds: 3 ld: PAROX VENTRIC TACHYCARD dd: 4280 ds: 4 ld: CONGESTIVE HEART FAILURE dd: 5070 ds: 5 ld: FOOD/VOMIT PNEUMONITIS dd: 99812 ds: 6 ld: HEMATOMA COMPL PROCEDURE dd: V1046 ds: 9 ld: HX-PROSTATIC MALIGNANCY
tf: [18:13:00 17/07/2014] dt: 22578 cu: CCU de: FA2
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
id: Aggrastat el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions am: 12.5 du: mcgkgmin rt: IV Drip id: Amiodarone el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip id: Dopamine el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions am: 400 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ra: 12.8 ru: ml/hr io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ra: 25 ru: ml/hr io: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ra: 8 ru: ml/hr
id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5/.45NS el: 1 cu: CCU cg: -1 io: D5/.45NS IV Infusions du: ml rt: Intravenous Push
t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Compliance (40-60ml) el: 0 cu: CCU cg: rrt v1: 31.3901 u1: ml/cmH st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: ETT Mark/Location el: 0 cu: CCU cg: rrt v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: FiO2 Set el: 0 cu: CCU cg: rrt v1: 1 u1: torr st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: High Insp. Pressure el: 0 cu: CCU cg: rrt v1: 50 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: High Resp. Rate el: 0 cu: CCU cg: rrt v1: 40 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Airway Size el: 0 cu: CCU cg: rrt v1: 7.5 mm st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Airway Type el: 0 cu: CCU cg: rrt v1: Endotracheal st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Inspired Gas Temp el: 0 cu: CCU cg: rrt u1: Deg. C st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Low Exhaled Min Vol el: 0 cu: CCU cg: rrt v1: 5 st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Low Insp. Pressure el: 0 cu: CCU cg: rrt v1: 10 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Mean Airway Pressure el: 0 cu: CCU cg: rrt v1: 9.6 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Minute Volume(Obser) el: 0 cu: CCU cg: rrt v1: 8.1 u1: L/min st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: PEEP Set el: 0 cu: CCU cg: rrt v1: 5 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Peak Flow el: 0 cu: CCU cg: rrt v1: 70 u1: L/m st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Peak Insp. Pressure el: 0 cu: CCU cg: rrt v1: 27.3 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Plateau-Off el: 0 cu: CCU cg: rrt v1: Yes st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Resp Rate (Spont) el: 0 cu: CCU cg: rrt v1: 0 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Respiratory Rate Set el: 0 cu: CCU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Resp Rate (Total) el: 0 cu: CCU cg: rrt v1: 12 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Sensitivity-Vent el: 0 cu: CCU cg: rrt v1: 2 u1: cmH2O st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: SpO2 el: 0 cu: CCU cg: rrt v1: 96 u1: % st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Tidal Volume (Obser) el: 0 cu: CCU cg: rrt v1: 670 u1: ml/B st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Tidal Volume (Set) el: 0 cu: CCU cg: rrt v1: 700 u1: ml/B st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Ventilator Mode el: 0 cu: CCU cg: rrt v1: Assist Control st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Ventilator Type el: 0 cu: CCU cg: rrt v1: 7200A st: NotStopd t0: [02:00:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15780 id: Waveform-Vent el: 0 cu: CCU cg: rrt v1: RAMP st: NotStopd
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PAC's st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Eye Opening el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: GCS Total el: 0 cu: CCU cg: -1 v1: 6 u1: points st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [02:00:00 02/07/2014] tf: [09:00:00 05/07/2014] dt: 4740 id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [02:00:00 02/07/2014] tf: [09:00:00 05/07/2014] dt: 4740 id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 02/07/2014] tf: [09:00:00 05/07/2014] dt: 4740 id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing v2: Hematoma st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Motor Response el: 0 cu: CCU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: NBP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: NBP Mean el: 0 cu: CCU cg: -1 v1: 74.3333 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Arterial BP el: 0 cu: CCU cg: -1 v1: 109 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 34.0556 u1: Deg. C st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Temperature F el: 0 cu: CCU cg: -1 v1: 93.3 u1: Deg. F st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden Score el: 0 cu: CCU cg: -1 v1: 12 u1: number st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd
t0: [02:15:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:15:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [02:15:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [02:15:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [02:15:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:15:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:15:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/07/2014] id: D5/.45NS IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [02:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Follows Commands el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Nonreactive v2: Nonreactive st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Nail Bed v2: Withdraws st: NotStopd t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd
t0: [02:30:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:30:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [02:30:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [02:30:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [02:30:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [02:30:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/07/2014] tf: [09:00:00 02/07/2014] dt: 420 id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Fentanyl el: 100 cu: CCU cg: -1 io: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions am: 500 du: mcghr rt: IV Drip id: Midazolam el: 100 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [02:15:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing v2: Hematoma st: NotStopd t0: [02:15:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [02:15:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [02:15:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [02:30:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing v2: Hematoma st: NotStopd t0: [02:30:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [02:30:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [02:30:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [02:45:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:45:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [02:45:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing v2: Hematoma st: NotStopd t0: [02:45:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [02:45:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [02:45:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:45:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [02:45:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Warm v2: Pale st: NotStopd t0: [02:45:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [02:45:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [03:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [03:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 98 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [03:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 87 u1: % st: NotStopd t0: [03:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22573 id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:45:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 3.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: .9% Normal Saline el: 1 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CCU cg: -1 io: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [03:15:00 02/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 31.25 u1: ml/cmH st: NotStopd t0: [03:15:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [03:15:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [03:15:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15705 id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2 st: NotStopd t0: [03:15:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [03:15:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [03:15:00 02/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [03:15:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [03:15:00 02/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 12.1 u1: L/min st: NotStopd t0: [03:15:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [03:15:00 02/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] tf: [01:00:00 13/07/2014] dt: 15705 id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [03:15:00 02/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [03:15:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 90 u1: % st: NotStopd t0: [03:15:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [03:15:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [03:15:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22498 id: Ventilator No. el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [03:15:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [03:15:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [03:15:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [03:15:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:15:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [03:15:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [03:15:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [03:15:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:30:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:30:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:30:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 85 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [03:30:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [03:30:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [03:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [03:30:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:45:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:45:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [03:45:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 90 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:45:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [03:45:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [03:45:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [03:45:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [04:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PAC's st: NotStopd t0: [04:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [04:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [04:00:00 02/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 02/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [04:00:00 02/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [04:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:30:00 02/07/2014] tf: [13:00:00 12/07/2014] dt: 14970 id: Fentanyl el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:15:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:15:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 3.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:30:00 02/07/2014] tf: [14:00:00 13/07/2014] dt: 16470 id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:30:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 3.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:45:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 3.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 02/07/2014] tf: [11:21:00 03/07/2014] dt: 1941 id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.8 vu: ml t0: [03:00:00 02/07/2014] tf: [10:00:00 02/07/2014] dt: 420 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [03:00:00 02/07/2014] tf: [22:00:00 02/07/2014] dt: 1140 id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml t0: [04:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 10.1 vu: ml t0: [04:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [04:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml
t0: [04:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.26 rs: Final st: NotStopd t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -8 rs: Final st: NotStopd t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [05:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22393 id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.26 rs: Final st: NotStopd
t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 22.4 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.1 u1: % rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 334 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.53 u1: /mic l rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 22.4 rs: Final st: NotStopd
t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 14.3 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 33.8 rs: Final st: NotStopd
t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 17 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 107 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 299 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd
t0: [05:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [05:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [05:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [05:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [05:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [05:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [06:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PAC's st: NotStopd t0: [06:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [06:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [06:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 6 u1: points st: NotStopd t0: [06:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [06:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [06:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [06:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [06:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [06:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [06:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [06:00:00 02/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [06:00:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [06:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22333 id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [06:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22333 id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [06:00:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [06:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing v2: Hematoma st: NotStopd t0: [06:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 4 Flex-withdraws st: NotStopd t0: [06:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [06:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [06:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Doppler v2: Doppler st: NotStopd t0: [06:00:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 02/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Nonreactive v2: Nonreactive st: NotStopd t0: [06:00:00 02/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 5 mm v2: 5 mm st: NotStopd t0: [06:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [06:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [06:00:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [06:00:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [06:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [06:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [06:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [06:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [06:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [06:00:00 02/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 12 u1: number st: NotStopd t0: [06:00:00 02/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd
t0: [05:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.6 vu: ml t0: [06:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 16 vu: ml
t0: [03:30:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml nb: 1 t0: [03:30:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 0 vu: ml nb: 1
t0: [06:30:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:30:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [06:30:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 82 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:30:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [06:30:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [06:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 90 u1: % st: NotStopd t0: [06:30:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:45:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:45:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [06:45:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [06:45:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [06:45:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:45:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [06:45:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/07/2014] tf: [03:00:00 07/07/2014] dt: 7020 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1.25 vu: ml t0: [06:00:00 02/07/2014] tf: [08:00:00 16/07/2014] dt: 20280 id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 12.5 vu: ml
t0: [06:30:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:30:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:30:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.01961 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:45:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:45:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:45:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 250 vu: ml
id: Gastric Meds el: 1 cu: CCU cg: -1 io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube
t0: [08:10:00 02/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 27.7778 u1: ml/cmH st: NotStopd t0: [08:10:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:10:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:10:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:10:00 02/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.5 st: NotStopd t0: [08:10:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:10:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:10:00 02/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [08:10:00 02/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Crackles st: NotStopd t0: [08:10:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Clear st: NotStopd t0: [08:10:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [08:10:00 02/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [08:10:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [08:10:00 02/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:10:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RRT v1: Diminished st: NotStopd t0: [08:10:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RRT v1: Clear st: NotStopd t0: [08:10:00 02/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [08:10:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [08:10:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RRT v1: Regular st: NotStopd t0: [08:10:00 02/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:10:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:10:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:10:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22203 id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned st: NotStopd t0: [08:10:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:10:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:10:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:10:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:10:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:10:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [08:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [08:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 87 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [08:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [08:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [08:00:00 02/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 02/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [08:00:00 02/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [08:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd
t0: [04:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22453 id: D5/.45NS IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 250 vu: ml t0: [08:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 28.6 vu: ml t0: [08:00:00 02/07/2014] tf: [17:00:00 05/07/2014] dt: 4860 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 90 vu: ml t0: [08:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 16 vu: ml t0: [08:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml t0: [08:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [08:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [23:00:00 02/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 90 ap: none
t0: [08:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 3 To speech st: NotStopd t0: [08:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [08:00:00 02/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 02/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing st: NotStopd t0: [08:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Pressure st: NotStopd t0: [08:00:00 02/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [08:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [08:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 02/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd
t0: [08:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd
t0: [08:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [08:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [08:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd
id: TF Residual el: 1 cu: CCU cg: -1 io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [09:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [09:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [09:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [09:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22153 id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [09:00:00 02/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:00:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [09:00:00 02/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [09:00:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [09:00:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [09:00:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd
t0: [06:00:00 02/07/2014] tf: [22:00:00 02/07/2014] dt: 960 id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 250 vu: ml t0: [08:00:00 02/07/2014] tf: [08:00:00 09/07/2014] dt: 10080 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 60 vu: ml t0: [08:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 250 vu: ml t0: [09:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 15.2 vu: ml t0: [09:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml t0: [09:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [09:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0.5 vu: ml t0: [09:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22153 id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 243 rs: Manual st: NotStopd
t0: [10:00:00 02/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
id: .45% Normal Saline el: 1 cu: CCU cg: -1 io: .45% Normal Saline IV Infusions du: ml rt: Intravenous Infusion
t0: [10:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [10:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [10:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [10:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 15.2 vu: ml t0: [10:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 250 vu: ml t0: [10:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml t0: [10:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0.5 vu: ml t0: [10:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 02/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [10:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [10:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 26 vu: ml
t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [08:00:00 02/07/2014] tf: [08:00:00 15/07/2014] dt: 18720 id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 02/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [10:00:00 02/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [10:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [10:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [10:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd
t0: [10:23:00 02/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd t0: [10:23:00 02/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -7 rs: Final st: NotStopd t0: [10:23:00 02/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [10:23:00 02/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [10:23:00 02/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [10:23:00 02/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.28 rs: Final st: NotStopd t0: [10:31:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Troponin Enzymes el: 0 cu: CCU cg: 140 v1: no data rs: Final st: NotStopd
id: Dobutamine el: 100 cu: CCU cg: -1 io: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions am: 250 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: -1 io: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [08:00:00 02/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [10:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [10:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 3 To speech st: NotStopd t0: [10:00:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [10:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [10:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [10:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [10:00:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [10:00:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [10:00:00 02/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 2.6 st: NotStopd t0: [10:00:00 02/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [10:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [10:00:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [10:00:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [10:00:00 02/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [10:00:00 02/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [10:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [10:00:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [10:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [10:00:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [10:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Oozing st: NotStopd t0: [10:00:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7.7 u1: cmH2O st: NotStopd t0: [10:00:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [10:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [10:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Pressure st: NotStopd t0: [10:00:00 02/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [10:00:00 02/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [10:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [10:00:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 4.9 u1: cmH2O st: NotStopd t0: [10:00:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [10:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Easily Palpable st: NotStopd t0: [10:00:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [10:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [10:00:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [10:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [10:00:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [10:00:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [10:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [10:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [10:00:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [10:00:00 02/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [10:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [10:00:00 02/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [10:00:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [10:00:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [10:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [10:00:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP st: NotStopd t0: [10:00:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [10:00:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [10:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [10:00:00 02/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [10:00:00 02/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [10:00:00 02/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [11:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [11:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [11:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [11:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 86 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [11:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:30:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:30:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 87 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [11:30:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [11:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:30:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 15.2 vu: ml t0: [11:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 125 vu: ml t0: [11:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml t0: [11:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 27 vu: ml t0: [11:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0.5 vu: ml t0: [11:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [11:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22003 id: Dobutamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] id: Dobutamine el: 1 cu: CCU so: D5W vo: 0 v1: 2.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 02/07/2014] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 vu: ml nb: 1
t0: [12:00:00 02/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [12:00:00 02/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [12:00:00 02/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 100 u1: Deg. F st: NotStopd
t0: [11:35:00 02/07/2014] id: Dobutamine el: 1 cu: CCU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: IV #3 Insert Date el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: IV #3 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22213 id: IV Site Appear #3 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [11:00:00 02/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [11:00:00 02/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 02/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [12:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 3 To speech st: NotStopd t0: [12:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: Flat in Bed st: NotStopd t0: [12:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [12:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 02/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [12:00:00 02/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [12:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Pressure st: NotStopd t0: [12:00:00 02/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 02/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 80 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [12:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [12:00:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [12:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 02/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 02/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Not Applicable st: NotStopd t0: [12:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [12:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 02/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [12:00:00 02/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 02/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [11:50:00 02/07/2014] id: Dobutamine el: 1 cu: CCU so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [10:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [10:00:00 02/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: Bleeding st: NotStopd t0: [12:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Femoral st: NotStopd t0: [12:00:00 02/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 02/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd
t0: [12:00:00 02/07/2014] id: Dobutamine el: 1 cu: CCU so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 02/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [12:00:00 02/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [12:21:00 02/07/2014] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [12:25:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21948 id: Significant Events el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 02/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 159 rs: Manual st: NotStopd t0: [12:20:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:20:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [12:20:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:20:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [12:20:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:20:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 74 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:20:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [12:20:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:20:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:20:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:25:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [12:25:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 78 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:25:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:25:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:25:00 02/07/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Fluid Bolus st: NotStopd t0: [12:25:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:25:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 69 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [12:30:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 55 u1: mmHg st: NotStopd
t0: [12:00:00 02/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 15.2 vu: ml t0: [12:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [12:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [12:00:00 02/07/2014] tf: [12:21:00 02/07/2014] dt: 21 id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 11.05 vu: ml t0: [12:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 28 vu: ml t0: [12:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [12:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml t0: [12:20:00 02/07/2014] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 10.2 vu: ml t0: [12:25:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21948 id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 500 vu: ml
t0: [12:20:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:20:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:20:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:20:00 02/07/2014] id: Dobutamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:20:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 5.96078 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21913 id: ETT Position Change el: 0 cu: CCU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 02/07/2014] id: ETT Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [13:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [13:00:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [13:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RN v1: 50 u1: cmH2O st: NotStopd t0: [13:00:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RN v1: 40 u1: BPM st: NotStopd t0: [13:00:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [13:00:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [13:00:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RN v1: 4 st: NotStopd t0: [13:00:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RN v1: 7.8 u1: cmH2O st: NotStopd t0: [13:00:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RN v1: 9.5 u1: L/min st: NotStopd t0: [13:00:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: RN v1: 4.9 u1: cmH2O st: NotStopd t0: [13:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RN v1: 2 u1: cmH2O st: NotStopd t0: [13:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RN v1: 590 u1: ml/B st: NotStopd t0: [13:00:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RN v1: CPAP st: NotStopd t0: [13:00:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RN v1: 24 u1: # st: NotStopd t0: [13:00:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RN v1: 7200A st: NotStopd t0: [13:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20.35 vu: ml t0: [13:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [13:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [13:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 18 vu: ml t0: [13:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [13:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [13:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 02/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [13:00:00 02/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [13:00:00 02/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [14:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [14:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 91 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [14:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [14:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25.5 vu: ml t0: [14:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 125 vu: ml t0: [14:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 8 vu: ml t0: [14:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 35 vu: ml t0: [14:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0.5 vu: ml t0: [14:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [14:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:58:00 02/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 20.7 rs: Final st: NotStopd t0: [13:58:00 02/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27 u1: % rs: Final st: NotStopd t0: [13:58:00 02/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [13:58:00 02/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 282 rs: Final st: NotStopd t0: [13:58:00 02/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.09 u1: /mic l rs: Final st: NotStopd t0: [13:58:00 02/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 20.7 rs: Final st: NotStopd
t0: [15:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 02/07/2014] tf: [17:16:00 06/07/2014] dt: 5896 id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Runs Vtach st: NotStopd t0: [15:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [15:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [15:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 02/07/2014] tf: [17:16:00 06/07/2014] dt: 5896 id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2014] tf: [17:16:00 06/07/2014] dt: 5896 id: PAP S/D el: 0 cu: CCU cg: RN v1: 36 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [15:00:00 02/07/2014] tf: [17:00:00 06/07/2014] dt: 5880 id: PCWP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [15:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [15:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 02/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [15:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [15:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [15:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [15:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [15:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [15:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [15:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:51:00 02/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd t0: [14:51:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21802 id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.5515 u1: ml/dl st: NotStopd t0: [14:51:00 02/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -7 rs: Final st: NotStopd t0: [14:51:00 02/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [14:51:00 02/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 02/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 194 u1: mmHg rs: Final st: NotStopd t0: [14:51:00 02/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.3 rs: Final st: NotStopd t0: [14:51:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21802 id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [15:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [15:00:00 02/07/2014] tf: [15:00:00 07/07/2014] dt: 7200 id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [15:00:00 02/07/2014] tf: [15:00:00 07/07/2014] dt: 7200 id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [15:00:00 02/07/2014] tf: [15:00:00 07/07/2014] dt: 7200 id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [15:00:00 02/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [15:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [15:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [15:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [15:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 02/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 02/07/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [13:58:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21855 id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 4609 rs: Final st: NotStopd t0: [15:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 02/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 9.1 u1: gm/dl rs: Manual st: NotStopd t0: [15:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21793 id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 57 rs: Manual st: NotStopd t0: [15:00:00 02/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 98 u1: % rs: Manual st: NotStopd
t0: [15:11:00 02/07/2014] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.82242 u1: m2 t0: [15:11:00 02/07/2014] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [15:11:00 02/07/2014] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: ACUTE MYOCARDIAL INFARCTION t0: [15:11:00 02/07/2014] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [15:11:00 02/07/2014] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 69 u1: inches t0: [15:11:00 02/07/2014] id: Readmission el: 1014 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [15:11:00 02/07/2014] id: Religion el: 1000 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: Ext el: 1010 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: PIN el: 1012 cu: CCU cg: -1 t0: [15:11:00 02/07/2014] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [15:34:00 02/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [15:34:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:34:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:34:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [15:34:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:34:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [15:34:00 02/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT u1: Deg. C st: NotStopd t0: [15:34:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [15:34:00 02/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [15:34:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [15:34:00 02/07/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 10 u1: . st: NotStopd t0: [15:34:00 02/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:34:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:34:00 02/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:34:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:34:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:34:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [15:34:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [15:34:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [15:34:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [15:34:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
t0: [13:00:00 02/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.6 st: NotStopd t0: [13:00:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [13:00:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [13:00:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [15:34:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21759 id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd
t0: [13:58:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21855 id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 624 rs: Final st: NotStopd
t0: [16:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [16:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [16:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [16:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: Flat in Bed st: NotStopd t0: [16:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [16:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 02/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 02/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [16:00:00 02/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 02/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [16:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 37 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [16:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cold v2: Pale st: NotStopd t0: [16:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [16:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [16:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 02/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 02/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [16:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [16:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [16:00:00 02/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 02/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [16:00:00 02/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [16:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [16:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [16:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 18 vu: ml t0: [16:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [16:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [16:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Doppler v2: Doppler st: NotStopd t0: [16:00:00 02/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 02/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 02/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.1 u1: Deg. F st: NotStopd
t0: [16:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21733 id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.52747 u1: ... st: NotStopd t0: [16:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21733 id: SVR el: 0 cu: CCU cg: RN v1: 1043.48 u1: ... st: NotStopd t0: [16:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21733 id: SVRI el: 0 cu: CCU cg: RN v1: 1897.23 u1: ... st: NotStopd t0: [16:00:00 02/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 57 rs: Manual st: NotStopd t0: [16:00:00 02/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 98 u1: % rs: Manual st: NotStopd t0: [16:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21733 id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.55042 u1: L/min st: NotStopd
t0: [17:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [17:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [17:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [17:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 02/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [17:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [17:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [17:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [17:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [17:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml t0: [17:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [17:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [17:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Cholesterol (<200) Chemistry el: 0 cu: CCU cg: 140 v1: 136 u1: mg/dl rs: Final st: NotStopd t0: [04:40:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 22413 id: Triglyceride (0-200) Chemistry el: 0 cu: CCU cg: 140 v1: 61 rs: Final st: NotStopd
t0: [18:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [18:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [18:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [18:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [18:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 37 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [18:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [18:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [18:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 02/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 146 rs: Manual st: NotStopd
t0: [18:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [18:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [18:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [18:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml t0: [18:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [18:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [18:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:24:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21589 id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
id: Packed RBC's el: 1 cu: CCU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [17:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21673 id: INV Line#1 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [17:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [19:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21553 id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [19:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21553 id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [17:00:00 02/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [17:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [17:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [17:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [17:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [17:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [17:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Femoral st: NotStopd t0: [18:00:00 02/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [18:00:00 02/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [18:00:00 02/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [18:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 02/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:00:00 02/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [18:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [19:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [19:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [19:00:00 02/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: Reverse T-Berg st: NotStopd t0: [19:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [19:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [19:00:00 02/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [19:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21553 id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [19:00:00 02/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [19:00:00 02/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [19:00:00 02/07/2014] id: IV #3 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [19:00:00 02/07/2014] id: IV #3 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [19:00:00 02/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [19:00:00 02/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [19:00:00 02/07/2014] id: IV Site Appear #3 el: 0 cu: CCU cg: RN v1: Bleeding st: NotStopd t0: [19:00:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Oozing st: NotStopd t0: [19:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [19:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [19:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [19:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 37 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [19:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 02/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [19:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 02/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [19:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [19:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [19:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [19:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 35 vu: ml t0: [19:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [19:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [19:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 0.5 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [19:30:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:30:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [19:30:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [19:30:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [19:30:00 02/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.2 st: NotStopd t0: [19:30:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [19:30:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [19:30:00 02/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [19:30:00 02/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [19:30:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [19:30:00 02/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:30:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7.3 u1: cmH2O st: NotStopd t0: [19:30:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [19:30:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [19:30:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [19:30:00 02/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [19:30:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:30:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [19:30:00 02/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [19:30:00 02/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [19:30:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [19:30:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [19:30:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [19:30:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [19:30:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [19:30:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [20:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [20:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [20:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 02/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: RN ai: 107 vu: ml nb: 1 t0: [20:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [20:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [20:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [20:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [20:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 0.5 vu: ml t0: [20:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [20:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/07/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: -1 pv: 375 cv: 375 ap: none
t0: [20:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:28:00 02/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd t0: [20:28:00 02/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [20:28:00 02/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [20:28:00 02/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 02/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [20:28:00 02/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.31 rs: Final st: NotStopd
t0: [20:00:00 02/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 02/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 02/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd t0: [21:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21433 id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 02/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [21:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [21:00:00 02/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 02/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [21:00:00 02/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 02/07/2014] tf: [18:13:00 17/07/2014] dt: 21433 id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [21:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 02/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [21:00:00 02/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [21:00:00 02/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 02/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [21:00:00 02/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 02/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [21:00:00 02/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [21:00:00 02/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 02/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: Pressure st: NotStopd t0: [21:00:00 02/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 02/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 02/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [21:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [21:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [21:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [21:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [21:00:00 02/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [21:00:00 02/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [21:00:00 02/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 02/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [21:00:00 02/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 02/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 02/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 02/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 02/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 02/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Not Applicable st: NotStopd t0: [21:00:00 02/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 02/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 02/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [21:00:00 02/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [21:00:00 02/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [21:00:00 02/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [21:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 25.5 vu: ml t0: [21:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml t0: [21:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml t0: [21:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [21:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1 vu: ml t0: [21:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [21:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 9 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:26:00 02/07/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 3705 rs: Final st: NotStopd
t0: [22:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 33 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: PCWP el: 0 cu: CCU cg: RN v1: 23 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [22:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [22:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 22.95 vu: ml t0: [22:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1 vu: ml t0: [22:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [21:30:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [20:26:00 02/07/2014] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 523 rs: Final st: NotStopd
t0: [22:00:00 02/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [22:00:00 02/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:30:00 02/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:30:00 02/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:30:00 02/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [22:30:00 02/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [22:30:00 02/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:30:00 02/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [16:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [23:00:00 02/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 02/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 02/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 02/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [23:00:00 02/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [23:00:00 02/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [23:00:00 02/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [23:00:00 02/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 02/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [23:00:00 02/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [23:00:00 02/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 02/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 02/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 02/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [23:00:00 02/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 02/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 10 u1: BPM st: NotStopd t0: [23:00:00 02/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [23:00:00 02/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [23:00:00 02/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [23:00:00 02/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [23:00:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 02/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 02/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd
t0: [22:00:00 02/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 125 vu: ml st: Stopped t0: [22:00:00 02/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 8 vu: ml st: Stopped t0: [23:00:00 02/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20.4 vu: ml t0: [23:00:00 02/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [23:00:00 02/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1 vu: ml t0: [23:00:00 02/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [23:00:00 02/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 02/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 02/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 02/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 341.4 cv: 341.4 ap: none t0: [23:00:00 02/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 26.4 cv: 3908.1 ap: none t0: [23:00:00 02/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 401.4 cv: 4373.1 ap: none t0: [23:00:00 02/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 60 cv: 957 ap: none t0: [23:00:00 02/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 341.4 cv: 3416.1 ap: none t0: [23:00:00 02/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 60 cv: 957 ap: none t0: [23:00:00 02/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 341.4 cv: 3416.1 ap: none
t0: [23:30:00 02/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:30:00 02/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [23:30:00 02/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [23:30:00 02/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [23:30:00 02/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:4.9 st: NotStopd t0: [23:30:00 02/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [23:30:00 02/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [23:30:00 02/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [23:30:00 02/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [23:30:00 02/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [23:30:00 02/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:30:00 02/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 6.5 u1: cmH2O st: NotStopd t0: [23:30:00 02/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7 u1: L/min st: NotStopd t0: [23:30:00 02/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [23:30:00 02/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [23:30:00 02/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [23:30:00 02/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [23:30:00 02/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [23:30:00 02/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [23:30:00 02/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:30:00 02/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [23:30:00 02/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [23:30:00 02/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [23:30:00 02/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [23:30:00 02/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [23:30:00 02/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [00:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [00:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 42 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [00:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [00:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [00:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [00:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [00:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [00:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: 140 pv: 14.7 cv: 14.7 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 64.7 cv: 1383.31 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: 140 pv: 94.7 cv: 2288.31 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: 140 pv: 14.7 cv: 767.308 ap: none t0: [23:00:00 03/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: 140 pv: 14.7 cv: 4183.41 ap: none
t0: [00:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [00:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [01:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [01:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Frequent st: NotStopd t0: [01:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [01:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [01:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [01:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 41 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [01:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [01:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [01:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [02:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 03/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [02:00:00 03/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 03/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 03/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [02:00:00 03/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [02:00:00 03/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [02:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [02:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [02:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [02:00:00 03/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [02:00:00 03/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [02:00:00 03/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [02:00:00 03/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [02:00:00 03/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [02:00:00 03/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [02:00:00 03/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LU Ant Forearm v2: 18 gauge st: NotStopd t0: [02:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 03/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [02:00:00 03/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [02:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [02:00:00 03/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [02:00:00 03/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 03/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [02:00:00 03/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 03/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [02:00:00 03/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [02:00:00 03/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 03/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Pressure st: NotStopd t0: [02:00:00 03/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 03/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [02:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [02:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [02:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 95 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Diff to Palpate v2: Diff to Palpate st: NotStopd t0: [02:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 03/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [02:00:00 03/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [02:00:00 03/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 03/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [02:00:00 03/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [02:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 03/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [02:00:00 03/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [02:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 03/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [02:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [02:00:00 03/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [02:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [02:00:00 03/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 03/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 03/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [02:00:00 03/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [02:00:00 03/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [02:00:00 03/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [00:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml t0: [01:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [01:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml t0: [01:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [01:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [01:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 03/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:3.5 st: NotStopd t0: [04:00:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 03/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [04:00:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [04:00:00 03/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7.2 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9 u1: L/min st: NotStopd t0: [04:00:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [04:00:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 1.7 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 16.3 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 03/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [04:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [04:00:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [04:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [04:00:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [04:00:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [05:00:00 03/07/2014] id: D5W 250.0ml + 12.5mcgkgmin Aggrastat IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [04:57:00 03/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd t0: [04:57:00 03/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [04:57:00 03/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 21 rs: Final st: NotStopd t0: [04:57:00 03/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 03/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 151 u1: mmHg rs: Final st: NotStopd t0: [04:57:00 03/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.34 rs: Final st: NotStopd
t0: [03:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [03:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [03:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [03:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [03:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [03:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [03:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [03:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [04:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [04:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [04:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [04:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [04:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [05:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [05:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [05:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [05:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [05:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [05:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 40 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [05:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [05:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [02:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml t0: [02:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [02:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [03:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [03:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [03:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [03:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [04:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [04:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [04:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [04:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [03:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 v1: 0.0980392 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:30:00 03/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.3 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27 u1: % rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 184 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.13 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.3 rs: Final st: NotStopd
t0: [04:30:00 03/07/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.3 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 13.7 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 28.1 rs: Final st: NotStopd
t0: [04:30:00 03/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 27 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [04:30:00 03/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 134 rs: Final st: NotStopd
t0: [04:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [04:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [04:00:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 73 rs: Manual st: NotStopd t0: [04:00:00 03/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: -1 v1: 99 u1: % rs: Manual st: NotStopd t0: [04:30:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 3.79121 u1: ... st: NotStopd t0: [04:30:00 03/07/2014] id: PCWP el: 0 cu: CCU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [04:30:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 73 rs: Manual st: NotStopd t0: [04:30:00 03/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: -1 v1: 99 u1: % rs: Manual st: NotStopd t0: [04:30:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 v1: 6.87353 u1: L/min st: NotStopd t0: [04:57:00 03/07/2014] id: CaO2 el: 0 cu: CCU cg: -1 v1: 13.0708 u1: ml/dl st: NotStopd t0: [06:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [06:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [06:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [06:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [06:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [06:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [06:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [06:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [06:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [07:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 7 u1: mmHg st: NotStopd t0: [07:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [07:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [07:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [07:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 41 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [07:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [07:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [07:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [05:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [05:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [05:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [06:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [06:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [06:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [06:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 02/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 03/07/2014] id: Aggrastat el: 1 cu: CCU so: D5W vo: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 3.79121 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: LCW el: 0 cu: CCU cg: RN v1: 6.94416 u1: kg x m st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: LCWI el: 0 cu: CCU cg: RN v1: 3.79121 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: LVSW el: 0 cu: CCU cg: RN v1: 73.4672 u1: g * m st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: LVSWI el: 0 cu: CCU cg: RN v1: 40.1099 u1: g*m/m2 st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: RCW el: 0 cu: CCU cg: RN v1: 2.90904 u1: kg * m st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: RCWI el: 0 cu: CCU cg: RN v1: 1.5989 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: RVSW el: 0 cu: CCU cg: RN v1: 30.7768 u1: g * m st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: RVSWI el: 0 cu: CCU cg: RN v1: 16.9231 u1: g*m/m2 st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: SVI el: 0 cu: CCU cg: RN v1: 40.1099 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 753.623 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 1372.03 u1: ... st: NotStopd t0: [04:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 21013 id: Stroke Volume el: 0 cu: CCU cg: RN v1: 72.6316 u1: ml st: NotStopd t0: [04:00:00 03/07/2014] tf: [17:00:00 06/07/2014] dt: 5100 id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 6.9 u1: L/min st: NotStopd t0: [04:57:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20956 id: O2AV el: 0 cu: CCU cg: RN v1: 897 u1: ml/min st: NotStopd t0: [04:57:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20956 id: O2AVI el: 0 cu: CCU cg: RN v1: 492.857 u1: ml/m/m st: NotStopd
t0: [07:00:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [07:00:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:00:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 03/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [07:00:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [07:00:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [07:00:00 03/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7 u1: cmH2O st: NotStopd t0: [07:00:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.3 u1: L/min st: NotStopd t0: [07:00:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20833 id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [07:00:00 03/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 03/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [07:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [07:00:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [07:00:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [07:00:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [07:00:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 03/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 8 u1: . st: NotStopd
io: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ra: 10 ru: ml/hr
id: .45% Normal Saline el: 1 cu: CCU cg: RN io: .45% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [08:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [08:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [08:00:00 03/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 03/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 03/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [08:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 03/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 03/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 03/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [08:00:00 03/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 03/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Pressure st: NotStopd t0: [08:00:00 03/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 03/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 34 u1: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 48 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: PCWP el: 0 cu: CCU cg: -1 v1: 23 u1: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 111 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [08:00:00 03/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 03/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [08:00:00 03/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 03/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 03/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 03/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 20.4 vu: ml t0: [07:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [07:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [08:00:00 03/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 03/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 120 vu: ml
t0: [08:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [08:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 20.4 vu: ml t0: [08:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 35 vu: ml t0: [08:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 1 vu: ml t0: [08:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [08:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 03/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 03/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 03/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 03/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 03/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 03/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.5556 u1: Deg. C st: NotStopd t0: [08:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 101.4 u1: Deg. F st: NotStopd t0: [08:00:00 03/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 03/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [08:00:00 03/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 03/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip
id: Promote w/fiber el: 1 cu: CCU cg: -1 io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [05:00:00 03/07/2014] tf: [18:00:00 06/07/2014] dt: 5100 id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 18 vu: ml t0: [09:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [09:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [06:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [08:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml nb: 1 t0: [09:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml
t0: [08:00:00 03/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [09:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [09:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [09:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [09:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [09:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [09:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 03/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [09:00:00 03/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [09:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 03/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 03/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 03/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [08:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd
t0: [09:00:00 03/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [09:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [09:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 590 u1: ml/B st: NotStopd t0: [09:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd
t0: [09:30:00 03/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 60 vu: ml
t0: [09:55:00 03/07/2014] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [10:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [10:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [10:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [10:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [10:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [10:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 18 vu: ml t0: [10:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [10:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [10:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 02/07/2014] tf: [09:35:00 07/07/2014] dt: 6395 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 375 vu: ml t0: [10:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 0 vu: ml nb: 1
t0: [10:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20653 id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd t0: [10:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd
id: Neosynephrine el: 100 cu: CCU cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions am: 60 du: mcgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [11:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [11:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 149 u1: BPM st: NotStopd t0: [11:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [11:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 44 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [11:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [11:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [11:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:05:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:05:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:05:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:05:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 31 u1: mmHg st: NotStopd t0: [11:05:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:05:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [11:05:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:05:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Cardioversion st: NotStopd t0: [11:05:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:05:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 03/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:05:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:05:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:05:00 03/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:05:00 03/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 31.8182 u1: ml/cmH st: NotStopd t0: [11:05:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:05:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 1 u1: torr st: NotStopd t0: [11:05:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 4.2 st: NotStopd t0: [11:05:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [11:05:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [11:05:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [11:05:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [11:05:00 03/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9.4 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [11:05:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [11:05:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [11:05:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [11:05:00 03/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [11:05:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:05:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [11:05:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [11:05:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [11:05:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [11:21:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [11:20:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:20:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [11:20:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:20:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:20:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [11:20:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:20:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [11:20:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 32 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [11:20:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:20:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [11:20:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:20:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:20:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:30:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:30:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [11:30:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [11:30:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [11:30:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [11:30:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:30:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [11:30:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:30:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:20:00 03/07/2014] id: D5W 250.0ml + 400mcgkgmin Dopamine IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 24 vu: ml t0: [11:20:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 0 vu: ml nb: 1
t0: [11:20:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:20:00 03/07/2014] tf: [16:00:00 06/07/2014] dt: 4600 id: Neosynephrine el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:20:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:20:00 03/07/2014] id: Dopamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.05882 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/07/2014] tf: [08:00:00 16/07/2014] dt: 18720 id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 03/07/2014] tf: [08:00:00 16/07/2014] dt: 18720 id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 03/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 03/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 03/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [11:30:00 03/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 126 rs: Manual st: NotStopd t0: [12:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [12:00:00 03/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [12:00:00 03/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 03/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 03/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 03/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 03/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 03/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 03/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 03/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 03/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 03/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 03/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [12:00:00 03/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 03/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [12:00:00 03/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 03/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 03/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [12:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 44 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [12:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 03/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 03/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 03/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [12:00:00 03/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 03/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 03/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 03/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 03/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 03/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 03/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 03/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 03/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd
t0: [11:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [11:00:00 03/07/2014] tf: [13:00:00 04/07/2014] dt: 1560 id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 10 vu: ml t0: [11:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [12:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [12:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 03/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 03/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 03/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [10:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [10:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 03/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 03/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 03/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 03/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 03/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 03/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [12:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 03/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 03/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thin st: NotStopd t0: [12:00:00 03/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 03/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [12:00:00 03/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [11:15:00 03/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 375 vu: ml nb: 1 t0: [12:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 03/07/2014] tf: [11:16:00 07/07/2014] dt: 5716 id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2.29167 vu: ml t0: [12:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 10 vu: ml t0: [12:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 03/07/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: -1 cv: 375 ap: none
t0: [12:30:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:30:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [12:30:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [12:30:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: PCWP el: 0 cu: CCU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:30:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:30:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [12:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.6667 u1: Deg. C st: NotStopd t0: [12:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 101.6 u1: Deg. F st: NotStopd
t0: [12:44:00 03/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 30 u1: mmHg rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 137 u1: mmHg rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [12:44:00 03/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 99 u1: % rs: Final st: NotStopd
t0: [12:30:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.03297 u1: ... st: NotStopd t0: [12:30:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20503 id: PVRI el: 0 cu: CCU cg: RN v1: 315.271 u1: ... st: NotStopd t0: [12:30:00 03/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1405.41 u1: ... st: NotStopd t0: [12:30:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 2561.58 u1: ... st: NotStopd t0: [12:30:00 03/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 9.5 u1: gm/dl rs: Manual st: NotStopd t0: [12:30:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 51 rs: Manual st: NotStopd t0: [12:30:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.72316 u1: L/min st: NotStopd t0: [12:44:00 03/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.0274 u1: ml/dl st: NotStopd
id: .9% Normal Saline el: 1 cu: CCU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [13:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [13:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [13:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [13:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [13:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 03/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [13:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 25 vu: ml t0: [13:00:00 03/07/2014] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 0 vu: ml nb: 1 t0: [13:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 10 vu: ml t0: [13:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 18 vu: ml t0: [13:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [13:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 03/07/2014] id: Dobutamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 03/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 33.0189 u1: ml/cmH st: NotStopd t0: [12:00:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 2.8 st: NotStopd t0: [12:00:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [12:00:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.4 u1: cmH2O st: NotStopd t0: [12:00:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.4 u1: L/min st: NotStopd t0: [12:00:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:00:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 26.2 u1: cmH2O st: NotStopd t0: [12:00:00 03/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 610 u1: ml/B st: NotStopd t0: [12:00:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [12:00:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [12:00:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [12:30:00 03/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 35.1759 u1: ml/cmH st: NotStopd t0: [12:30:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:30:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 2.8 st: NotStopd t0: [12:30:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:30:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:30:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:30:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [12:30:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.2 u1: cmH2O st: NotStopd t0: [12:30:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.7 u1: L/min st: NotStopd t0: [12:30:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:30:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:30:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 24.9 u1: cmH2O st: NotStopd t0: [12:30:00 03/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:30:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 620 u1: ml/B st: NotStopd t0: [12:30:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:30:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [12:30:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [12:30:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [12:30:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [13:15:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd
t0: [13:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20473 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 250 vu: ml
t0: [04:30:00 03/07/2014] id: CPK Enzymes el: 0 cu: CCU cg: 140 v1: 2404 rs: Final st: NotStopd
t0: [14:00:00 03/07/2014] id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: -1 ai: 111 vo: 0 st: D/C'd
t0: [13:50:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:50:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:50:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Frequent st: NotStopd t0: [13:50:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:50:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 158 u1: BPM st: NotStopd t0: [13:50:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:50:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [13:50:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 33 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:50:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 65 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [13:50:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [13:50:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:50:00 03/07/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Cardioversion st: NotStopd t0: [13:50:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:55:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:55:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:55:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:55:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:55:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 107 u1: BPM st: NotStopd t0: [13:55:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:55:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [13:55:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [13:55:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:55:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [13:55:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:55:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:55:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:50:00 03/07/2014] tf: [14:00:00 03/07/2014] dt: 10 id: D5W 250.0ml + 250mcgkgmin Dobutamine IV Infusions el: 1 cu: CCU cg: RN ai: 111 vo: 25.5 vu: ml
t0: [13:50:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:50:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:50:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:50:00 03/07/2014] id: Dobutamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:55:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:55:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:55:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:55:00 03/07/2014] id: Dobutamine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 7.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [14:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [14:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 157 u1: BPM st: NotStopd t0: [14:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [14:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [14:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 42 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 66 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [14:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 46 u1: mmHg st: NotStopd t0: [14:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 03/07/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Cardioversion st: NotStopd t0: [14:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [14:05:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:05:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [14:05:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [14:05:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [14:05:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [14:05:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:05:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [14:05:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [14:05:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:05:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [14:05:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:05:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:05:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [14:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 10 vu: ml t0: [14:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [14:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [14:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20413 id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [14:05:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:05:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:05:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:05:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:30:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [14:30:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [14:30:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [14:30:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [14:30:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:30:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [14:30:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [14:30:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:30:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [14:30:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [14:30:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:30:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:30:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Runs Vtach st: NotStopd t0: [14:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Runs Vtach st: NotStopd t0: [15:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [15:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [15:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [15:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [15:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [15:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 47 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [15:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [15:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [15:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25.4167 vu: ml t0: [15:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 10 vu: ml t0: [15:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 175 vu: ml t0: [15:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [15:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [15:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 03/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 03/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [15:36:00 03/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -4 rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 41 u1: % rs: Final st: NotStopd t0: [15:36:00 03/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [16:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [16:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 10 vu: ml t0: [16:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 105 vu: ml t0: [16:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [15:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1
t0: [15:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20353 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [16:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml
t0: [15:00:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 51 rs: Manual st: NotStopd t0: [16:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [16:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Rare st: NotStopd t0: [16:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [16:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [16:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [16:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.08791 u1: ... st: NotStopd t0: [15:00:00 03/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1326.32 u1: ... st: NotStopd t0: [15:00:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 2411.48 u1: ... st: NotStopd t0: [15:00:00 03/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 9.5 u1: gm/dl rs: Manual st: NotStopd t0: [15:00:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.80238 u1: L/min st: NotStopd t0: [15:36:00 03/07/2014] id: CaO2 el: 0 cu: CCU cg: RN v1: 12.624 u1: ml/dl st: NotStopd
t0: [16:00:00 03/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [16:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 101.4 u1: Deg. F st: NotStopd
t0: [16:00:00 03/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [16:00:00 03/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml
t0: [23:00:00 03/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [16:00:00 03/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [16:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 03/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20293 id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 03/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 03/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 03/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 03/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 03/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 03/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 03/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 03/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 03/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 03/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [16:00:00 03/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 03/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 03/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 03/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 03/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [16:00:00 03/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 03/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [16:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20293 id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 03/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 03/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [16:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 03/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 03/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cold v2: Pale st: NotStopd t0: [16:00:00 03/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 03/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [16:00:00 03/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 03/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20293 id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 03/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 03/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 03/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 03/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20293 id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 03/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 03/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [16:00:00 03/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 03/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 35.7143 u1: ml/cmH st: NotStopd t0: [16:00:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:4 st: NotStopd t0: [16:00:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 03/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [16:00:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 03/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [16:00:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [16:00:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 610 u1: ml/B st: NotStopd t0: [16:00:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [16:00:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
id: Milrinone el: 100 cu: CCU cg: RN io: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions am: 20 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CCU cg: RN io: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [17:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [17:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [17:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [17:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 41 u1: mmHg st: NotStopd t0: [17:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [17:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 03/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [17:00:00 03/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [17:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [17:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [17:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml t0: [17:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [17:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [17:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [17:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 27 u2: mmHg st: NotStopd
t0: [04:30:00 03/07/2014] id: CPK/MB Enzymes el: 0 cu: CCU cg: 140 v1: 320 rs: Final st: NotStopd
t0: [18:00:00 03/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 0 vu: ml nb: 1
t0: [18:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [18:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 8 u1: mmHg st: NotStopd t0: [18:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [18:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [18:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [18:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 33 u1: mmHg st: NotStopd t0: [18:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 49 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [18:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [18:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [18:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [18:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [18:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [18:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [18:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [18:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [18:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20173 id: Milrinone el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [18:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 03/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 164 rs: Manual st: NotStopd
t0: [18:51:00 03/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd t0: [18:51:00 03/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -5 rs: Final st: NotStopd t0: [18:51:00 03/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 20 rs: Final st: NotStopd t0: [18:51:00 03/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [18:51:00 03/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [18:51:00 03/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.35 rs: Final st: NotStopd
t0: [18:51:00 03/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.4657 u1: ml/dl st: NotStopd t0: [18:51:00 03/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [18:00:00 03/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 21.6 u1: % rs: Final st: NotStopd
t0: [19:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [19:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [19:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Rare st: NotStopd t0: [19:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [19:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [19:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 35 u1: mmHg st: NotStopd t0: [19:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 50 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [19:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [19:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [19:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [19:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [19:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [19:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [19:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [19:00:00 03/07/2014] tf: [18:13:00 17/07/2014] dt: 20113 id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [19:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [19:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 28 vu: ml t0: [19:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [19:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [19:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.74725 u1: ... st: NotStopd t0: [18:00:00 03/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 880 u1: ... st: NotStopd t0: [18:00:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 1600 u1: ... st: NotStopd t0: [18:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 60 rs: Manual st: NotStopd t0: [18:00:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.96421 u1: L/min st: NotStopd
t0: [20:00:00 03/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 38.4615 u1: ml/cmH st: NotStopd t0: [20:00:00 03/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 03/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 03/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 03/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 03/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 03/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [20:00:00 03/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 7.3 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.9 u1: L/min st: NotStopd t0: [20:00:00 03/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [20:00:00 03/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 13.5 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [20:00:00 03/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 470 u1: ml/B st: NotStopd t0: [20:00:00 03/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 03/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 03/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [20:00:00 03/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 03/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 03/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [20:00:00 03/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 03/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 03/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 03/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 03/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 03/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [20:00:00 03/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 03/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [20:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 03/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 03/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [20:00:00 03/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 03/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [20:00:00 03/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 03/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 03/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 03/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [20:00:00 03/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 03/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [20:00:00 03/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 03/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [20:00:00 03/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 03/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 03/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [20:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 33 u1: mmHg st: NotStopd t0: [20:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 48 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [20:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [20:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [20:00:00 03/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 03/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 03/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 03/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 03/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [20:00:00 03/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [20:00:00 03/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 03/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 03/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 03/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [20:00:00 03/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 03/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 03/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 03/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 03/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 03/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 03/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 03/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [20:00:00 03/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.8333 u1: Deg. C st: NotStopd t0: [20:00:00 03/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 100.1 u1: Deg. F st: NotStopd t0: [20:00:00 03/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [20:00:00 03/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 03/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 03/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 03/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [20:00:00 03/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 03/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [20:00:00 03/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [20:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [20:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [20:00:00 03/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [20:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [20:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [20:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [20:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [20:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 2.58242 u1: ... st: NotStopd t0: [20:00:00 03/07/2014] id: SVR el: 0 cu: CCU cg: -1 v1: 902.128 u1: ... st: NotStopd t0: [20:00:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: -1 v1: 1643.41 u1: ... st: NotStopd t0: [20:00:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 58 rs: Manual st: NotStopd t0: [20:00:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 v1: 4.70294 u1: L/min st: NotStopd
t0: [20:54:00 03/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27.1 u1: % rs: Final st: NotStopd
t0: [21:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [21:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [21:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 32 u1: mmHg st: NotStopd t0: [21:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 47 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [21:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [21:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [21:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [21:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [21:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [21:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [21:00:00 03/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [21:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [21:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [21:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [21:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [22:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [22:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [22:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 32 u1: mmHg st: NotStopd t0: [22:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 48 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [22:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [22:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [22:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 375 vu: ml
t0: [22:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [22:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 03/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [23:00:00 03/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 03/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 03/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [23:00:00 03/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 03/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 34 u1: mmHg st: NotStopd t0: [23:00:00 03/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 51 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [23:00:00 03/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 03/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [23:00:00 03/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [23:00:00 03/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [23:00:00 03/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [22:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [22:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [22:00:00 03/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [22:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml t0: [22:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [22:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 03/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 03/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 03/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 03/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [23:00:00 03/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:59:00 03/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 57 rs: Final st: NotStopd
t0: [00:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 35.7143 u1: ml/cmH st: NotStopd t0: [00:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [00:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.8 u1: L/min st: NotStopd t0: [00:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [00:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [00:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [00:27:00 04/07/2014] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd
t0: [20:00:00 03/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 03/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [23:00:00 03/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: -1 v1: 9.5 u1: gm/dl rs: Manual st: NotStopd t0: [23:59:00 03/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 2.63736 u1: ... st: NotStopd t0: [23:59:00 03/07/2014] id: SVRI el: 0 cu: CCU cg: -1 v1: 1606.06 u1: ... st: NotStopd t0: [23:59:00 03/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 v1: 4.83005 u1: L/min st: NotStopd t0: [00:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [00:00:00 04/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 2.63736 u1: ... st: NotStopd t0: [00:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 04/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [00:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 04/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [00:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [00:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [00:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [00:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [00:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [00:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [00:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [00:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [00:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [00:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 04/07/2014] id: SVR el: 0 cu: CCU cg: -1 v1: 883.333 u1: ... st: NotStopd t0: [00:00:00 04/07/2014] id: SVRI el: 0 cu: CCU cg: -1 v1: 1606.06 u1: ... st: NotStopd t0: [00:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 04/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [00:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [00:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [00:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [00:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [00:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 04/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [00:00:00 04/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [23:00:00 03/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [23:00:00 03/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [23:00:00 03/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [23:00:00 03/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [23:00:00 03/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml t0: [23:00:00 03/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [23:00:00 03/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [00:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [00:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 03/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 pv: 80 cv: 80 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: 140 pv: 30 cv: 230 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 pv: 80 cv: 1521 ap: none t0: [23:00:00 03/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 pv: 80 cv: 1521 ap: none
t0: [00:00:00 04/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 375 vu: ml nb: 1 t0: [00:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [00:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [00:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [00:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [00:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 04/07/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: -1 cv: 375 ap: none
t0: [01:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [01:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [01:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 38 u1: mmHg st: NotStopd t0: [01:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 56 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [01:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [01:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [01:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [01:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [01:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [01:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [01:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [01:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [01:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [01:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [01:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [02:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [02:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [02:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 39 u1: mmHg st: NotStopd t0: [02:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [02:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [02:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [02:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [03:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [03:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 39 u1: mmHg st: NotStopd t0: [03:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 58 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [03:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 108 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [03:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [03:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [22:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [23:00:00 03/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [00:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [01:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [02:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [02:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [02:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [02:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [02:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [02:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [02:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [03:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml
t0: [22:00:00 03/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 04/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [04:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 04/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [04:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [04:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [04:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [04:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [04:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [04:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [04:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [04:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 04/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [04:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 04/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [04:00:00 04/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [21:00:00 03/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 30 vu: ml t0: [02:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml t0: [02:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vu: ml t0: [03:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [03:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [03:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [03:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [03:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [03:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [04:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 50 u1: ml/cmH st: NotStopd t0: [04:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [04:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 8.4 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [04:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [04:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [04:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [04:26:00 04/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd t0: [04:26:00 04/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [04:26:00 04/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 23 rs: Final st: NotStopd t0: [04:26:00 04/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 04/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 61 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 04/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.39 rs: Final st: NotStopd
t0: [04:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [04:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 41 u1: mmHg st: NotStopd t0: [04:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [04:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [04:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [04:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [04:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [04:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [04:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [04:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [04:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [04:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [04:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [04:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 89.6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 56 rs: Manual st: NotStopd t0: [04:00:00 04/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: -1 v1: 92 u1: % rs: Manual st: NotStopd
t0: [04:00:00 04/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 14.3 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Cardiac Index el: 0 cu: CCU cg: 140 v1: 2.52747 u1: ... st: NotStopd t0: [04:00:00 04/07/2014] id: SVR el: 0 cu: CCU cg: 140 v1: 991.304 u1: ... st: NotStopd t0: [04:00:00 04/07/2014] id: SVRI el: 0 cu: CCU cg: 140 v1: 1802.37 u1: ... st: NotStopd t0: [04:00:00 04/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.4 u1: % rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 167 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 14.3 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: 140 v1: 4.57864 u1: L/min st: NotStopd t0: [04:26:00 04/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.8869 u1: ml/dl st: NotStopd
t0: [05:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [05:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 38 u1: mmHg st: NotStopd t0: [05:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 55 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [05:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [05:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [05:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [04:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [05:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [05:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 04/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 19 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 151 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [04:00:00 04/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 133 rs: Final st: NotStopd
t0: [06:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [06:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 34 u1: mmHg st: NotStopd t0: [06:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 50 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [06:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [06:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [06:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [07:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [07:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [07:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [07:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [07:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [07:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [07:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [05:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [05:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 22.4 vu: ml t0: [05:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [05:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [05:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [05:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [05:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [05:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [06:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [06:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 20 vu: ml t0: [06:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [06:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [06:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 50 vu: ml t0: [06:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml t0: [06:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [06:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [06:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [06:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [07:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.3889 u1: Deg. C st: NotStopd t0: [07:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 101.1 u1: Deg. F st: NotStopd
t0: [07:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd
t0: [07:30:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 64.9351 u1: ml/cmH st: NotStopd t0: [07:30:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:30:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:30:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:30:00 04/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:1.7 st: NotStopd t0: [07:30:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:30:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [07:30:00 04/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [07:30:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [07:30:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [07:30:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 6.7 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.8 u1: L/min st: NotStopd t0: [07:30:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [07:30:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 12.7 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 17.3 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:30:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:30:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:30:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:30:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 90 u1: % st: NotStopd t0: [07:30:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [07:30:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [07:30:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [07:30:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [07:30:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [07:30:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [08:00:00 04/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 158 rs: Manual st: NotStopd
t0: [08:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [08:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 40 vu: ml t0: [08:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [08:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 20.4 vu: ml t0: [08:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml t0: [08:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [08:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 13 u1: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [08:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 44 u1: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 51 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [08:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 39 u1: Deg. C st: NotStopd t0: [08:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102.2 u1: Deg. F st: NotStopd t0: [08:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 80 vu: ml t0: [08:00:00 04/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 130 vu: ml
t0: [08:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [08:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:31:00 04/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.3475 u1: ml/dl st: NotStopd t0: [08:31:00 04/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -3 rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.36 rs: Final st: NotStopd t0: [08:31:00 04/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 95 u1: % rs: Final st: NotStopd
t0: [08:00:00 04/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 04/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 2.91209 u1: ... st: NotStopd t0: [08:00:00 04/07/2014] id: PCWP el: 0 cu: CCU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [08:00:00 04/07/2014] id: PVRI el: 0 cu: CCU cg: -1 v1: 439.863 u1: ... st: NotStopd t0: [08:00:00 04/07/2014] id: SVR el: 0 cu: CCU cg: -1 v1: 1026.42 u1: ... st: NotStopd t0: [08:00:00 04/07/2014] id: SVRI el: 0 cu: CCU cg: -1 v1: 1869.42 u1: ... st: NotStopd t0: [08:00:00 04/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 61 rs: Manual st: NotStopd t0: [08:00:00 04/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 v1: 5.31713 u1: L/min st: NotStopd
t0: [08:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 04/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [08:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [08:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: Dry Sterile Dsg st: NotStopd t0: [08:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [08:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 04/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 04/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 04/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 100 vu: ml
t0: [09:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [09:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [09:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 33 u1: mmHg st: NotStopd t0: [09:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 44 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [09:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 91 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [09:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [09:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [09:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 20 vu: ml t0: [09:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [09:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [09:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 50 vu: ml t0: [09:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [09:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip
t0: [19:00:00 03/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd
t0: [09:00:00 04/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [09:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:15:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [10:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [10:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [10:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [10:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [10:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [10:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [10:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [10:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 23.75 vu: ml t0: [10:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 12.5 vu: ml t0: [10:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10.2 vu: ml t0: [10:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [10:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [10:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [10:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [10:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [10:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [07:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 04/07/2014] id: ETT Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [09:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [09:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 04/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [10:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [10:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 04/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 04/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [11:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [11:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [11:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [11:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [11:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [11:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 30 vu: ml t0: [11:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 12.5 vu: ml t0: [11:00:00 04/07/2014] id: D5W 100.0ml + 20mcgkgmin Milrinone IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10.2 vu: ml t0: [11:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [11:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml t0: [11:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [11:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 04/07/2014] id: Milrinone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 100 su: ml rt: IV Drip t0: [11:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 47.619 u1: ml/cmH st: NotStopd t0: [12:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 19093 id: Cuff Pressure-Airway el: 0 cu: CCU cg: -1 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2 st: NotStopd t0: [12:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 04/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [12:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [12:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11.8 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.7 u1: L/min st: NotStopd t0: [12:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [12:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 20.5 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 490 u1: ml/B st: NotStopd t0: [12:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [12:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [12:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 40 u1: mmHg st: NotStopd t0: [12:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 58 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [12:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [12:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 30 vu: ml t0: [12:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 12.5 vu: ml t0: [12:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [12:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml t0: [12:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [12:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PAC's st: NotStopd t0: [12:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [12:00:00 04/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml
t0: [12:00:00 04/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [12:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [12:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.7778 u1: Deg. C st: NotStopd t0: [12:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 101.8 u1: Deg. F st: NotStopd
t0: [08:00:00 04/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 04/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 04/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 04/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [12:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [12:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [12:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [12:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 04/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 04/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 04/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 120 vu: ml
t0: [12:00:00 04/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 159 rs: Manual st: NotStopd
t0: [12:34:00 04/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -2 rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 24 rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd t0: [12:34:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 19059 id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CCU cg: 140 v1: 1.6 rs: Final st: NotStopd t0: [12:34:00 04/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [12:00:00 04/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.58242 u1: ... st: NotStopd t0: [12:00:00 04/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1072.34 u1: ... st: NotStopd t0: [12:00:00 04/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 1953.49 u1: ... st: NotStopd t0: [12:00:00 04/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 10.3 u1: gm/dl rs: Manual st: NotStopd t0: [12:00:00 04/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 61 rs: Manual st: NotStopd t0: [12:00:00 04/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [12:00:00 04/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.70946 u1: L/min st: NotStopd t0: [12:34:00 04/07/2014] id: CaO2 el: 0 cu: CCU cg: RN v1: 13.532 u1: ml/dl st: NotStopd
t0: [12:30:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:30:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:30:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:30:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [12:30:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [12:30:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [12:30:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [12:30:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:30:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:30:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [13:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: Occasional st: NotStopd t0: [13:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: PVC's st: NotStopd t0: [13:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [13:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [13:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [13:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [13:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 30 vu: ml t0: [13:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 12.5 vu: ml t0: [13:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 170 vu: ml t0: [13:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [12:30:00 04/07/2014] id: Amiodarone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 30 vu: ml st: Stopped
t0: [13:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 130 vu: ml
t0: [11:00:00 04/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd t0: [14:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [14:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [14:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [14:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [14:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [14:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 53 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [14:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [14:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [14:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [14:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [14:00:00 04/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml t0: [14:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [14:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 04/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 60 vu: ml t0: [14:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 30 vu: ml t0: [14:00:00 04/07/2014] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 12.5 vu: ml t0: [14:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 170 vu: ml t0: [14:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [14:00:00 04/07/2014] id: Amiodarone el: 1 cu: CCU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 120 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 250 ap: none
t0: [14:30:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 110 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:30:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:30:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [14:30:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [14:30:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 42 u1: mmHg st: NotStopd t0: [14:30:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [14:30:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 105 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [14:30:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [14:30:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [14:30:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [14:30:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:30:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [15:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [15:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [15:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [15:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [15:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 28.75 vu: ml t0: [15:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml t0: [15:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [15:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:20:00 04/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd t0: [16:20:00 04/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: -1 rs: Final st: NotStopd t0: [16:20:00 04/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [16:20:00 04/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [16:20:00 04/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [16:20:00 04/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.33 rs: Final st: NotStopd
t0: [16:22:00 04/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd
t0: [12:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [16:00:00 04/07/2014] id: Cardiac Index el: 0 cu: CCU cg: -1 v1: 2.41758 u1: ... st: NotStopd t0: [16:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 04/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 04/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 04/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [16:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [16:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [16:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [16:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Cool v2: Pale st: NotStopd t0: [16:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [16:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 04/07/2014] id: SVR el: 0 cu: CCU cg: -1 v1: 1090.91 u1: ... st: NotStopd t0: [16:00:00 04/07/2014] id: SVRI el: 0 cu: CCU cg: -1 v1: 1983.47 u1: ... st: NotStopd t0: [16:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 04/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [16:00:00 04/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: -1 v1: 10.1 u1: gm/dl rs: Manual st: NotStopd t0: [16:00:00 04/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 58 rs: Manual st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [16:00:00 04/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 12 u1: number st: NotStopd t0: [16:00:00 04/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 04/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: -1 v1: 4.42356 u1: L/min st: NotStopd
t0: [16:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 40 vu: ml t0: [16:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [16:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 145 vu: ml t0: [16:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [16:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [16:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 100 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:15:00 04/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.7 u1: % rs: Final st: NotStopd
t0: [14:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [14:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [15:30:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [15:30:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Copious st: NotStopd t0: [16:00:00 04/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [16:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/07/2014] tf: [15:00:00 07/07/2014] dt: 4260 id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 v1: Unable to Wedge st: NotStopd t0: [16:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [16:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [16:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd
t0: [16:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 116.279 u1: ml/cmH st: NotStopd t0: [16:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 04/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [16:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [16:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.8 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.5 u1: L/min st: NotStopd t0: [16:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [16:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 14.3 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [16:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [16:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [17:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [17:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 39 u1: mmHg st: NotStopd t0: [17:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 56 u1: mmHg v2: 30 u2: mmHg st: NotStopd t0: [17:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 109 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [17:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [17:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [17:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 90 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 25 vu: ml t0: [17:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 65 vu: ml t0: [17:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [17:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [16:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 39.4444 u1: Deg. C st: NotStopd t0: [16:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 103 u1: Deg. F st: NotStopd
t0: [16:22:00 04/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd
t0: [18:00:00 04/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml
t0: [18:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [18:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [18:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 42 u1: mmHg st: NotStopd t0: [18:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 62 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [18:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [18:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [18:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 04/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 109 rs: Manual st: NotStopd
t0: [18:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 22.5 vu: ml t0: [18:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 105 vu: ml t0: [18:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [18:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [18:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd
t0: [18:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [18:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 0 vu: ml nb: 1
t0: [16:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [17:00:00 04/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [18:00:00 04/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [18:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 04/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [18:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 04/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [18:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [18:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [19:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [19:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [19:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [19:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 38 u1: mmHg st: NotStopd t0: [19:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 55 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [19:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [19:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [19:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 20 vu: ml t0: [19:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 18673 id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [19:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [19:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [19:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [19:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 119.048 u1: ml/cmH st: NotStopd t0: [20:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 04/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [20:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [20:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.5 u1: L/min st: NotStopd t0: [20:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [20:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [20:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 14.2 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 3 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [20:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [20:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 04/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [20:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [20:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [20:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 04/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [20:00:00 04/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [20:00:00 04/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 04/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 04/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 04/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [20:00:00 04/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 04/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 04/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [20:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 04/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [20:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [20:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 18613 id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [20:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [20:00:00 04/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 04/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 04/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 04/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [20:00:00 04/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [20:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [20:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [20:00:00 04/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [20:00:00 04/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [20:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [20:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [20:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [20:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 18613 id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 18613 id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [21:00:00 04/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [21:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [21:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 58 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [21:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 04/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [21:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [21:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [21:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [21:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 04/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [22:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [22:00:00 04/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 04/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 04/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [22:00:00 04/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 04/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 04/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [22:00:00 04/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 04/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 04/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [22:00:00 04/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 04/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 04/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 04/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [22:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [22:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 59 u1: mmHg v2: 27 u2: mmHg st: NotStopd t0: [22:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 04/07/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [22:00:00 04/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 04/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 04/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [22:00:00 04/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [22:00:00 04/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 04/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [22:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 04/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [22:00:00 04/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 04/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 04/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 04/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd t0: [23:00:00 04/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [23:00:00 04/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [22:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [22:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [22:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [22:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml t0: [23:00:00 04/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 04/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [23:00:00 04/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [23:00:00 04/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [23:00:00 04/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 04/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 04/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 04/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -3 cv: -3 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 37 cv: 1204.7 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 57 cv: 2915.3 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 20 cv: 700 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 60 cv: 1960 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -3 cv: 955.3 ap: none t0: [23:00:00 04/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 60 cv: 1960 ap: none t0: [23:00:00 04/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -3 cv: 5138.71 ap: none
t0: [23:00:00 04/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 79.3651 u1: ml/cmH st: NotStopd t0: [23:00:00 04/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [23:00:00 04/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [23:00:00 04/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [23:00:00 04/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [23:00:00 04/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [23:00:00 04/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [23:00:00 04/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [23:00:00 04/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11.1 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9.3 u1: L/min st: NotStopd t0: [23:00:00 04/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [23:00:00 04/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 60 u1: L/m st: NotStopd t0: [23:00:00 04/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 16.3 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [23:00:00 04/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [23:00:00 04/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [23:00:00 04/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [23:00:00 04/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [23:00:00 04/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [23:00:00 04/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [23:00:00 04/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [23:00:00 04/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [22:00:00 04/07/2014] tf: [18:13:00 17/07/2014] dt: 18493 id: Less Restrict Meas. el: 0 cu: CCU cg: RN v1: Incr Visibility st: NotStopd t0: [22:00:00 04/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 04/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [22:00:00 04/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 04/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [22:00:00 04/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 04/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 04/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 04/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 04/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 04/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 04/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [22:00:00 04/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Agitated st: NotStopd t0: [23:00:00 04/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 04/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [23:00:00 04/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 04/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 04/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 04/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 98 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 04/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 49 u1: mmHg st: NotStopd t0: [23:00:00 04/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 70 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:00:00 04/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 04/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [23:00:00 04/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 04/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 04/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [00:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [00:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [00:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 05/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 05/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 05/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [00:00:00 05/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 05/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [00:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [00:00:00 05/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [00:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [00:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [00:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [00:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 05/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [00:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [00:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 05/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 125 rs: Manual st: NotStopd t0: [00:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [00:00:00 05/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [00:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 50 vu: ml t0: [00:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [00:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [00:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [23:00:00 04/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 04/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 04/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 05/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 35 cv: 1071 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 75 cv: 2131 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN pv: 0 cv: 370 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN pv: 40 cv: 690 ap: none
t0: [00:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 45 vu: ml
t0: [23:00:00 05/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN pv: 300 cv: 300 ap: none t0: [23:00:00 05/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: -225 cv: -225 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN pv: 300 cv: 2930 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: -225 cv: -799 ap: none t0: [23:00:00 05/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN pv: 300 cv: 2930 ap: none t0: [23:00:00 05/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: -225 cv: 4339.71 ap: none
t0: [00:39:00 05/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 25 u1: % rs: Final st: NotStopd t0: [00:39:00 05/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
t0: [01:00:00 05/07/2014] id: .45% Normal Saline IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [01:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 05/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [01:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [01:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [01:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [01:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 18313 id: IV #1 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 20 st: NotStopd t0: [01:00:00 05/07/2014] id: IV #1 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [01:00:00 05/07/2014] id: IV #1 Site/Size el: 0 cu: CCU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [01:00:00 05/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [01:00:00 05/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [01:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 05/07/2014] id: IV Site Appear #1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 05/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 43 u1: mmHg st: NotStopd t0: [01:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 62 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [01:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [01:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [01:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [01:00:00 05/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [01:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [01:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [01:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 05/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [01:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 20 vu: ml t0: [01:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [01:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [01:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [01:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [01:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:30:00 05/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.96703 u1: ... st: NotStopd t0: [00:30:00 05/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 8.3 u1: gm/dl rs: Manual st: NotStopd t0: [00:30:00 05/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 58 rs: Manual st: NotStopd t0: [00:30:00 05/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 96 u1: % rs: Manual st: NotStopd t0: [00:30:00 05/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 5.38288 u1: L/min st: NotStopd
t0: [00:30:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:30:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [00:30:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:30:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [00:30:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [00:30:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:30:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [00:30:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:30:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:30:00 05/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 918.519 u1: ... st: NotStopd t0: [00:30:00 05/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 1670.03 u1: ... st: NotStopd t0: [00:30:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [00:30:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:30:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:30:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:30:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [01:53:00 05/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.9 u1: % rs: Final st: NotStopd
t0: [02:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [02:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [02:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 41 u1: mmHg st: NotStopd t0: [02:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 60 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [02:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [02:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [02:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [02:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 20 vu: ml t0: [02:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [02:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [02:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml t0: [03:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 20 vu: ml t0: [03:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [03:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [03:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [02:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Dozing Intermit st: NotStopd t0: [02:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [02:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [02:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [03:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 38 u1: mmHg st: NotStopd t0: [03:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [03:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [03:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [03:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [04:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [04:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [04:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [04:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 05/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: RN v1: 7 v2: 16 st: NotStopd t0: [04:00:00 05/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 05/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [04:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 05/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [04:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [04:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [04:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [04:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [04:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 05/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Pale st: NotStopd t0: [04:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [04:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Hypoactive st: NotStopd
t0: [02:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 25 vu: ml t0: [03:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [04:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 20 vu: ml t0: [04:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 20 vu: ml t0: [04:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [04:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 30 vu: ml t0: [04:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [03:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 80 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 05/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 63.2911 u1: ml/cmH st: NotStopd t0: [05:00:00 05/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 05/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 05/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [05:00:00 05/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [05:00:00 05/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [05:00:00 05/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34.5 u1: Deg. C st: NotStopd t0: [05:00:00 05/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [05:00:00 05/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [05:00:00 05/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 12.7 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [05:00:00 05/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [05:00:00 05/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [05:00:00 05/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 17.9 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [05:00:00 05/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 9 u1: BPM st: NotStopd t0: [05:00:00 05/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [05:00:00 05/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 05/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [05:00:00 05/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [05:00:00 05/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 05/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [05:00:00 05/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [05:00:00 05/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [05:00:00 05/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [06:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 144 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [06:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 40 vu: ml t0: [06:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [06:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 4 vu: ml t0: [06:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml t0: [07:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml
t0: [06:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [08:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 39.4444 u1: Deg. C st: NotStopd t0: [08:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 103 u1: Deg. F st: NotStopd t0: [08:00:00 05/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [07:47:00 05/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd t0: [07:47:00 05/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [07:47:00 05/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [07:47:00 05/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [07:47:00 05/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [07:47:00 05/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.38 rs: Final st: NotStopd
t0: [08:00:00 05/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [08:00:00 05/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 05/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 05/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 05/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 05/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 05/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:00:00 05/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [08:00:00 05/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.5 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.3 u1: L/min st: NotStopd t0: [08:00:00 05/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 05/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [08:00:00 05/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 23 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 05/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 05/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [08:00:00 05/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:00:00 05/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:00:00 05/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:00:00 05/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 05/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 05/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 05/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 99 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 05/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [08:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 43 u1: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 60 u1: mmHg v2: 29 u2: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [08:00:00 05/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [08:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 05/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: -1 v1: 49 rs: Manual st: NotStopd
t0: [08:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [08:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 80 vu: ml t0: [08:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 30 vu: ml t0: [08:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [08:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 25 vu: ml t0: [08:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 4 vu: ml t0: [08:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [08:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 50 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:45:00 05/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 14.7 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.8 u1: % rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.52 u1: /mic l rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 14.7 rs: Final st: NotStopd t0: [08:00:00 05/07/2014] id: Cardiac Index el: 0 cu: CCU cg: 140 v1: 1.97802 u1: ... st: NotStopd t0: [08:00:00 05/07/2014] id: SVR el: 0 cu: CCU cg: 140 v1: 1533.33 u1: ... st: NotStopd t0: [08:00:00 05/07/2014] id: SVRI el: 0 cu: CCU cg: 140 v1: 2787.88 u1: ... st: NotStopd t0: [08:00:00 05/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: 140 v1: 3.64014 u1: L/min st: NotStopd
t0: [08:15:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 70 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:45:00 05/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 22 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 102 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 130 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.7 rs: Final st: NotStopd t0: [07:45:00 05/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 132 rs: Final st: NotStopd
t0: [08:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 05/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 v1: 7 v2: 16 st: NotStopd t0: [08:00:00 05/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 05/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 05/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 05/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 05/07/2014] id: PCWP el: 0 cu: CCU cg: -1 v1: 24 u1: mmHg st: NotStopd t0: [08:00:00 05/07/2014] id: PVRI el: 0 cu: CCU cg: -1 v1: 767.677 u1: ... st: NotStopd t0: [08:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 05/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 05/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 05/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [08:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 05/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 05/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [09:00:00 05/07/2014] id: IV #2 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 05/07/2014] id: IV #2 Insert Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 05/07/2014] id: IV #2 Site/Size el: 0 cu: CCU cg: -1 st: D/C'd t0: [09:00:00 05/07/2014] id: IV Site Appear #2 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:30:00 05/07/2014] tf: [09:00:00 05/07/2014] dt: 30 id: IV #2 D/C Date el: 0 cu: CCU cg: -1 v1: 7 v2: 20 st: NotStopd t0: [09:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 05/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [09:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 05/07/2014] tf: [15:00:00 07/07/2014] dt: 3240 id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 05/07/2014] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [09:00:00 05/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [09:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 52 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [09:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [09:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [09:00:00 05/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [09:00:00 05/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 20 vu: ml t0: [09:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 16.25 vu: ml t0: [09:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [09:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 85 vu: ml t0: [09:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [09:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 37 u1: mmHg st: NotStopd t0: [10:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 52 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [10:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [10:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [10:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [10:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 20 vu: ml t0: [10:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 15 vu: ml t0: [10:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 20 vu: ml t0: [10:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml t0: [10:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [10:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [10:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 60 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17773 id: Radiologic Study el: 0 cu: CCU cg: -1 v1: Chest Xray st: NotStopd
t0: [08:00:00 05/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 05/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml
t0: [10:00:00 05/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd
t0: [11:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 9 u1: mmHg st: NotStopd t0: [11:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 36 u1: mmHg st: NotStopd t0: [11:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 51 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [11:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [11:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [11:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 20 vu: ml t0: [11:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 15 vu: ml t0: [11:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [11:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 365 vu: ml t0: [11:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [11:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [11:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 56 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [06:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 47 u1: mmHg st: NotStopd t0: [06:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg v2: 37 u2: mmHg st: NotStopd
t0: [12:00:00 05/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 123 rs: Manual st: NotStopd
t0: [11:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [12:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 35 u1: mmHg st: NotStopd t0: [12:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 05/07/2014] id: PressSoreWoundBase#1 el: 0 cu: CCU cg: -1 st: D/C'd
t0: [12:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [12:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [12:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [12:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [12:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.8889 u1: Deg. C st: NotStopd t0: [12:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102 u1: Deg. F st: NotStopd
t0: [12:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 20 vu: ml t0: [12:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 14 vu: ml t0: [12:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 325 vu: ml t0: [12:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [12:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [12:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:09:00 05/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd t0: [12:09:00 05/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [12:09:00 05/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [12:09:00 05/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:09:00 05/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 67 u1: mmHg rs: Final st: NotStopd t0: [12:09:00 05/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.37 rs: Final st: NotStopd
t0: [12:10:00 05/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 54 rs: Final st: NotStopd
t0: [12:00:00 05/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 25 vu: ml t0: [12:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml
t0: [12:00:00 05/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1326.32 u1: ... st: NotStopd t0: [12:00:00 05/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 10.6 u1: gm/dl rs: Manual st: NotStopd t0: [12:10:00 05/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.08791 u1: ... st: NotStopd t0: [12:10:00 05/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 2411.48 u1: ... st: NotStopd t0: [12:10:00 05/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.81348 u1: L/min st: NotStopd
t0: [12:30:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [12:30:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:30:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:30:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:30:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [12:30:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 48 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [12:00:00 05/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 05/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 05/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 05/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [12:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 05/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 05/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 05/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 05/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd
t0: [11:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17713 id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [11:00:00 05/07/2014] tf: [12:00:00 05/07/2014] dt: 60 id: PressSoreWoundBase#1 el: 0 cu: CCU cg: -1 st: NotStopd t0: [12:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [12:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 05/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [12:00:00 05/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [12:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 05/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 05/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [12:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 05/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 05/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 05/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [13:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [13:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [13:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 38 u1: mmHg st: NotStopd t0: [13:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 54 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [13:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [13:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 20 vu: ml t0: [13:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 12.5 vu: ml t0: [13:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [13:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 110 vu: ml t0: [13:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [13:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [13:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 48 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:30:00 05/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RT v1: 23.8095 u1: ml/cmH st: NotStopd t0: [13:30:00 05/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [13:30:00 05/07/2014] tf: [01:00:00 13/07/2014] dt: 10770 id: Flow-By (lpm) el: 0 cu: CCU cg: RT v1: 0.5 u1: torr st: NotStopd t0: [13:30:00 05/07/2014] tf: [01:00:00 13/07/2014] dt: 10770 id: Flow-by Sensitivity el: 0 cu: CCU cg: RT v1: 6 u1: lpm st: NotStopd t0: [13:30:00 05/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RT v1: 3 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RT v1: 40 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RT v1: 35 u1: BPM st: NotStopd t0: [13:30:00 05/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RT v1: 1:4.9 st: NotStopd t0: [13:30:00 05/07/2014] id: Airway Size el: 0 cu: CCU cg: RT v1: 7.5 mm st: NotStopd t0: [13:30:00 05/07/2014] id: Airway Type el: 0 cu: CCU cg: RT v1: Endotracheal st: NotStopd t0: [13:30:00 05/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [13:30:00 05/07/2014] id: Intubation Date el: 0 cu: CCU cg: RT v1: 7 v2: 17 st: NotStopd t0: [13:30:00 05/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RT v1: 4 st: NotStopd t0: [13:30:00 05/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RT v1: 12.8 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RT v1: 6.4 u1: L/min st: NotStopd t0: [13:30:00 05/07/2014] id: PEEP Set el: 0 cu: CCU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: Peak Flow el: 0 cu: CCU cg: RT v1: 70 u1: L/m st: NotStopd t0: [13:30:00 05/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RT v1: 31 u1: cmH2O st: NotStopd t0: [13:30:00 05/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RT v1: Yes st: NotStopd t0: [13:30:00 05/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RT v1: 0 u1: BPM st: NotStopd t0: [13:30:00 05/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RT v1: 12 u1: BPM st: NotStopd t0: [13:30:00 05/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RT v1: 12 u1: BPM st: NotStopd t0: [13:30:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RT v1: 95 u1: % st: NotStopd t0: [13:30:00 05/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RT v1: Bloody v2: Thick st: NotStopd t0: [13:30:00 05/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RT v1: Suctioned v2: Scant st: NotStopd t0: [13:30:00 05/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RT v1: 530 u1: ml/B st: NotStopd t0: [13:30:00 05/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [13:30:00 05/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RT v1: Assist Control st: NotStopd t0: [13:30:00 05/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RT v1: 24 u1: # st: NotStopd t0: [13:30:00 05/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RT v1: 7200A st: NotStopd t0: [13:30:00 05/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RT v1: RAMP st: NotStopd
t0: [14:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [14:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [14:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 v1: 38 u1: mmHg st: NotStopd t0: [14:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 v1: 55 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [14:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [14:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [14:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [14:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [14:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [14:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [14:00:00 05/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml nb: 1 t0: [14:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 12 vu: ml t0: [14:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 30 vu: ml t0: [14:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [14:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [14:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [14:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [14:00:00 05/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thin st: NotStopd t0: [14:00:00 05/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Scant st: NotStopd
t0: [14:30:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:30:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [14:30:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:30:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [14:30:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [14:30:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 84 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [14:30:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [14:30:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:30:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [14:30:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 37.5 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:30:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 05/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.1 u1: % rs: Final st: NotStopd
t0: [14:00:00 05/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.4 rs: Final st: NotStopd
t0: [15:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [15:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [15:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [15:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [15:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [15:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [15:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 30 vu: ml t0: [15:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [15:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 8.75 vu: ml
t0: [15:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [16:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [16:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [16:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [16:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 05/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 05/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 05/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 05/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [16:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 05/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 05/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 05/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry st: NotStopd t0: [16:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 05/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 05/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [16:00:00 05/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [16:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 05/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] tf: [18:13:00 17/07/2014] dt: 17413 id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [16:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [16:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 05/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [14:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vu: ml t0: [15:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vu: ml t0: [16:00:00 05/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 40 vu: ml t0: [16:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [16:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [16:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [16:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml t0: [16:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [16:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [16:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [16:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.8 u1: Deg. F st: NotStopd
t0: [16:00:00 05/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 50 u1: ml/cmH st: NotStopd t0: [16:00:00 05/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 05/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 05/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:00:00 05/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 05/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 05/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 05/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [16:00:00 05/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 05/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.5 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8 u1: L/min st: NotStopd t0: [16:00:00 05/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [16:00:00 05/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 05/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 05/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 05/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [16:00:00 05/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 05/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [16:00:00 05/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 05/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 05/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [16:00:00 05/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 05/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [17:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [17:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [17:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 280 vu: ml t0: [17:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [17:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [17:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [17:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [17:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [17:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [17:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:26:00 05/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.2661 u1: ml/dl st: NotStopd t0: [17:26:00 05/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.4 rs: Final st: NotStopd t0: [17:26:00 05/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 92 u1: % rs: Final st: NotStopd
t0: [17:28:00 05/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 156 rs: Final st: NotStopd t0: [17:28:00 05/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd t0: [17:28:00 05/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd
t0: [18:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [18:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 05/07/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [18:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [18:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 05/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [18:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [18:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [18:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [18:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [18:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 05/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 05/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [18:00:00 05/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 05/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd
t0: [18:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [18:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [18:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [18:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [18:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [18:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:30:00 05/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 10.1 u1: gm/dl rs: Manual st: NotStopd t0: [17:30:00 05/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 50 rs: Manual st: NotStopd
t0: [17:30:00 05/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.1978 u1: ... st: NotStopd t0: [17:30:00 05/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: RN v1: 92 u1: % rs: Manual st: NotStopd t0: [17:30:00 05/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 4.00227 u1: L/min st: NotStopd
t0: [18:00:00 05/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [18:00:00 05/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Scant st: NotStopd
t0: [18:30:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:30:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:30:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:30:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [18:30:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:30:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [18:30:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:30:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [19:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [19:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [19:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 58 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [19:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [19:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [19:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [19:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [19:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml t0: [19:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 7.5 vu: ml
t0: [19:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [20:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 05/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 05/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 05/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 05/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 05/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [20:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [20:00:00 05/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 05/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 05/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 05/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 05/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [20:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [20:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [20:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 05/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [20:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [20:00:00 05/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 05/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [20:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 05/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [20:00:00 05/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [20:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 05/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [20:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [20:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [20:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [20:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [20:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [20:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [20:00:00 05/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 05/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd
t0: [21:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [21:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [21:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [21:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 05/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [21:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [21:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [21:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [21:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [21:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [21:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:20:00 05/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 25.5102 u1: ml/cmH st: NotStopd t0: [21:20:00 05/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:20:00 05/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:20:00 05/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:20:00 05/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:20:00 05/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.4 st: NotStopd t0: [21:20:00 05/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:20:00 05/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [21:20:00 05/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:20:00 05/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [21:20:00 05/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [21:20:00 05/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.6 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.8 u1: L/min st: NotStopd t0: [21:20:00 05/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [21:20:00 05/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29.6 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 17.8 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [21:20:00 05/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:20:00 05/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:20:00 05/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:20:00 05/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:20:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [21:20:00 05/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [21:20:00 05/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:20:00 05/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [21:20:00 05/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [21:20:00 05/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [21:20:00 05/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
id: KCL el: 100 cu: CCU cg: RN io: D5W 50.0ml IV Infusions am: 20 du: mEq rt: Intravenous Push
id: D5W el: 1 cu: CCU cg: RN io: D5W 50.0ml IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [21:00:00 05/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [21:00:00 05/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [22:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [22:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [22:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [22:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [22:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 05/07/2014] tf: [13:00:00 06/07/2014] dt: 900 id: D5W 50.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 109 vo: 50 vu: ml t0: [22:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [22:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [22:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [22:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [22:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [22:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [22:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 05/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 05/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [22:00:00 05/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 05/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [22:00:00 05/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 05/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 05/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [22:00:00 05/07/2014] id: Motor Response el: 0 cu: CCU cg: RN st: NotStopd t0: [22:00:00 05/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 05/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [22:00:00 05/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [22:00:00 05/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 05/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [22:00:00 05/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [22:00:00 05/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [22:00:00 05/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 05/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [22:00:00 05/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 05/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 05/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [22:00:00 05/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 05/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 05/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [22:00:00 05/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 05/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [22:00:00 05/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 05/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 05/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [22:00:00 05/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [22:00:00 05/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Comp. Limited st: NotStopd
t0: [23:00:00 05/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 05/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [23:00:00 05/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 05/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 05/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 05/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 05/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 05/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [23:00:00 05/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [23:00:00 05/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 05/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [23:00:00 05/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 05/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 05/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 05/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 05/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [23:00:00 05/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [23:00:00 05/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [23:00:00 05/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [23:00:00 05/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [23:00:00 05/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [23:00:00 05/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [23:00:00 05/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 05/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 05/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [00:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [00:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [00:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [00:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [00:00:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [00:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 06/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 127 rs: Manual st: NotStopd
t0: [00:00:00 06/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 35 vu: ml t0: [00:00:00 06/07/2014] tf: [01:00:00 06/07/2014] dt: 60 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [00:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 30 vu: ml t0: [00:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [00:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [00:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 250 vu: ml t0: [00:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [00:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [00:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 06/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 cv: 0 ap: none t0: [23:00:00 06/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 69.75 cv: 69.75 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 9.75 cv: 916.9 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 69.75 cv: 2136.9 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 160 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: -1 pv: 60 cv: 1060 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 cv: 2805 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 69.75 cv: -668.1 ap: none t0: [23:00:00 06/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 cv: 2805 ap: none t0: [23:00:00 06/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 69.75 cv: 3671.61 ap: none
t0: [00:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RN v1: 44.6429 u1: ml/cmH st: NotStopd t0: [00:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RN v1: 6 u1: lpm st: NotStopd t0: [00:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RN v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RN v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RN v1: 35 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RN v1: 4 st: NotStopd t0: [00:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [00:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [00:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [00:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [00:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RN v1: 4 st: NotStopd t0: [00:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RN v1: 10.9 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RN v1: 8.2 u1: L/min st: NotStopd t0: [00:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RN v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RN v1: 70 u1: L/m st: NotStopd t0: [00:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RN v1: 21.2 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RN v1: 3 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [00:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RN v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [00:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RN v1: 540 u1: ml/B st: NotStopd t0: [00:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RN v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RN v1: CMV st: NotStopd t0: [00:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RN v1: 24 u1: # st: NotStopd t0: [00:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RN v1: 7200A st: NotStopd t0: [00:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RN v1: RAMP st: NotStopd
t0: [00:00:00 06/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 06/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 06/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [00:00:00 06/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 06/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 06/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 06/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 06/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 06/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 06/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 06/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 06/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 06/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 06/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 06/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 06/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 06/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 06/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 06/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 06/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 06/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 06/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 06/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [00:00:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [01:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 17.7936 u1: ml/cmH st: NotStopd t0: [01:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [01:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [01:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [01:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 3.8 st: NotStopd t0: [01:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [01:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [01:00:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [01:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [01:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [01:00:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.7 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.6 u1: L/min st: NotStopd t0: [01:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 9.9 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [01:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 38 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [01:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [01:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [01:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [01:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [01:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [01:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [01:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [01:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [01:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [01:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [01:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [01:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [01:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [01:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [02:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [02:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [02:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 52 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [02:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [01:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [01:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [01:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [01:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [01:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [01:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml t0: [02:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [02:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [02:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml nb: 1 t0: [02:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [02:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml t0: [02:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [02:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [01:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 06/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [02:00:00 06/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 06/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [02:00:00 06/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 06/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 06/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 06/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [02:00:00 06/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [02:00:00 06/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [02:00:00 06/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 06/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [02:00:00 06/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 06/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [02:00:00 06/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [02:00:00 06/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 06/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 06/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 06/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 06/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 06/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [03:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [03:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [03:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [03:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [03:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 88 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [03:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [03:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [03:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [03:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [03:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [03:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [03:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [04:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [04:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [04:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [04:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [04:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [04:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [04:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [04:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [04:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [04:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [04:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [04:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml nb: 1
t0: [04:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [04:00:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd
t0: [04:00:00 06/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml
t0: [04:00:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [04:00:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.2 u1: Deg. F st: NotStopd
t0: [04:26:00 06/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 1 rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [04:28:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16665 id: Mixed Venous O2 Blood Gases el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd
t0: [04:28:00 06/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 38 u1: % rs: Final st: NotStopd t0: [04:28:00 06/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 51 rs: Final st: NotStopd
t0: [04:05:00 06/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.9 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.8 u1: % rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 131 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.35 u1: /mic l rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.9 rs: Final st: NotStopd t0: [04:26:00 06/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.3328 u1: ml/dl st: NotStopd t0: [04:28:00 06/07/2014] id: Cardiac Index el: 0 cu: CCU cg: 140 v1: 2.03297 u1: ... st: NotStopd t0: [04:28:00 06/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: 140 v1: 3.69079 u1: L/min st: NotStopd
t0: [05:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 45.4545 u1: ml/cmH st: NotStopd t0: [05:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 3.5 st: NotStopd t0: [05:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [05:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [05:00:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.4 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [05:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [05:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [05:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Blood Tinged v2: Thick st: NotStopd t0: [05:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [05:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [05:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [05:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [05:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [04:05:00 06/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 25 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 120 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [04:05:00 06/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 135 rs: Final st: NotStopd
t0: [05:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [05:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [05:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [05:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 51 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [05:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [05:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [05:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 55 vu: ml
t0: [05:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [03:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [03:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [03:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [05:00:00 06/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [05:00:00 06/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [05:00:00 06/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [05:00:00 06/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd
t0: [06:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [06:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [06:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [06:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [06:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [06:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [06:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [06:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [05:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [05:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [05:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [05:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [05:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml t0: [06:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [06:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 0 vu: ml t0: [06:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 13 vu: ml t0: [06:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [06:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [06:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [06:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [06:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: Previous Weight el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: BSA - English el: 0 cu: CCU cg: RN v1: 1.13484 u1: m2 st: NotStopd t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: BSA - Metric el: 0 cu: CCU cg: RN v1: 1.3283 u1: m2 st: NotStopd t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: Weight Change el: 0 cu: CCU cg: RN v1: 0 u1: kg st: NotStopd t0: [06:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16573 id: Daily Weight el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd
t0: [05:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [06:00:00 06/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [06:00:00 06/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [06:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [06:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [06:00:00 06/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [07:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [07:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [07:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [07:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 47 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [07:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [07:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [07:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 52 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [07:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN u1: BPM st: NotStopd t0: [08:00:00 06/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [08:00:00 06/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 06/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 06/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 06/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [08:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 06/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 06/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [08:00:00 06/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 06/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [08:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 06/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 06/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [08:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [08:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 06/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 06/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 06/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 06/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 06/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [08:00:00 06/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 06/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [08:00:00 06/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 06/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 06/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 06/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 06/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 06/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 06/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 06/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd
t0: [08:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 26 vu: ml t0: [08:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 80 vu: ml t0: [08:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [08:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 4 vu: ml t0: [08:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 20 vu: ml
t0: [08:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 06/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 06/07/2014] tf: [11:46:00 16/07/2014] dt: 14626 id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Negative v2: 6 st: NotStopd t0: [08:00:00 06/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 06/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 06/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 06/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 06/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 06/07/2014] tf: [08:00:00 16/07/2014] dt: 14400 id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml
t0: [08:00:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [08:00:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 38.4444 u1: Deg. C st: NotStopd t0: [08:00:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 101.2 u1: Deg. F st: NotStopd
t0: [04:00:00 06/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.03297 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: LCW el: 0 cu: CCU cg: RN v1: 3.22048 u1: kg x m st: NotStopd t0: [04:00:00 06/07/2014] id: LCWI el: 0 cu: CCU cg: RN v1: 1.75824 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: LVSW el: 0 cu: CCU cg: RN v1: 41.7792 u1: g * m st: NotStopd t0: [04:00:00 06/07/2014] id: LVSWI el: 0 cu: CCU cg: RN v1: 23.0769 u1: g*m/m2 st: NotStopd t0: [04:00:00 06/07/2014] id: RCW el: 0 cu: CCU cg: RN v1: 1.71088 u1: kg * m st: NotStopd t0: [04:00:00 06/07/2014] id: RCWI el: 0 cu: CCU cg: RN v1: 0.93956 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: RVSW el: 0 cu: CCU cg: RN v1: 22.1952 u1: g * m st: NotStopd t0: [04:00:00 06/07/2014] id: RVSWI el: 0 cu: CCU cg: RN v1: 12.1978 u1: g*m/m2 st: NotStopd t0: [04:00:00 06/07/2014] id: SVI el: 0 cu: CCU cg: RN v1: 26.3736 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1275.68 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 2325.12 u1: ... st: NotStopd t0: [04:00:00 06/07/2014] id: Stroke Volume el: 0 cu: CCU cg: RN v1: 48.0519 u1: ml st: NotStopd t0: [04:00:00 06/07/2014] id: C.O.(thermodilution) el: 0 cu: CCU cg: RN v1: 3.7 u1: L/min st: NotStopd t0: [04:26:00 06/07/2014] id: O2AV el: 0 cu: CCU cg: RN v1: 481 u1: ml/min st: NotStopd t0: [04:26:00 06/07/2014] id: O2AVI el: 0 cu: CCU cg: RN v1: 264.286 u1: ml/m/m st: NotStopd
t0: [08:50:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 37.3134 u1: ml/cmH st: NotStopd t0: [08:50:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:50:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:50:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:50:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:50:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:50:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:50:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:50:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:50:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [08:50:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.7 u1: L/min st: NotStopd t0: [08:50:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [08:50:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 23.4 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:50:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [08:50:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:50:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:50:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:50:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [08:50:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:50:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:50:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 16403 id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:50:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:50:00 06/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 510 u1: ml/B st: NotStopd t0: [08:50:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:50:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:50:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:50:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [09:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [09:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [09:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [09:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 53 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [09:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [09:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [09:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [09:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 06/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [09:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 06/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [09:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [09:00:00 06/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [09:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [09:00:00 06/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [09:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 37.5 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [09:20:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd
t0: [09:15:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:15:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [09:15:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:15:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:15:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [09:15:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [09:15:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 82 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:15:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [09:15:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:15:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [09:15:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:15:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:15:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 37.5 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:15:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:15:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [10:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [10:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [10:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 49 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 85 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [10:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 21.75 vu: ml t0: [10:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 100 vu: ml t0: [10:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [10:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 4 vu: ml t0: [10:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 17.5 vu: ml
t0: [10:15:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:15:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [10:15:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:15:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [10:15:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [10:15:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:15:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:15:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [10:15:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:15:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [10:15:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [10:15:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [10:15:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:15:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:15:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:15:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:38:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd
t0: [11:00:00 06/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [11:00:00 06/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [11:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 06/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:00:00 06/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 06/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [11:00:00 06/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [11:00:00 06/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [11:00:00 06/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [11:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 06/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [11:00:00 06/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [11:00:00 06/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 06/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [11:00:00 06/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [11:00:00 06/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [11:00:00 06/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 06/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 06/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 06/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 06/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [11:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 33 u1: mmHg st: NotStopd t0: [11:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [11:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 06/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 06/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [11:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 06/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 06/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [11:00:00 06/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [11:00:00 06/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Cool v2: Normal st: NotStopd t0: [11:00:00 06/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [11:00:00 06/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts and Holds st: NotStopd t0: [11:00:00 06/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 06/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 06/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:00:00 06/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [11:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [11:00:00 06/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [11:00:00 06/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [11:00:00 06/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [11:00:00 06/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [11:00:00 06/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 06/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 06/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [11:00:00 06/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [11:00:00 06/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 06/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [11:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:00:00 06/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [11:00:00 06/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 06/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [10:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vu: ml t0: [11:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 11 vu: ml t0: [11:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [11:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml t0: [11:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [11:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [11:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 44 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:30:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [11:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [11:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [11:30:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [11:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [11:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [11:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [11:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [11:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [11:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 37.5 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:30:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [11:30:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [11:30:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100 u1: Deg. F st: NotStopd
t0: [11:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 40 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:39:00 06/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 87 u1: mmHg rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd
t0: [11:30:00 06/07/2014] id: SVR el: 0 cu: CCU cg: 140 v1: 1494.74 u1: ... st: NotStopd t0: [11:39:00 06/07/2014] id: Cardiac Index el: 0 cu: CCU cg: 140 v1: 2.08791 u1: ... st: NotStopd t0: [11:39:00 06/07/2014] id: SVRI el: 0 cu: CCU cg: 140 v1: 2717.7 u1: ... st: NotStopd t0: [11:39:00 06/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30 u1: % rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: 140 v1: 53 rs: Final st: NotStopd t0: [11:39:00 06/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: 140 v1: 3.7728 u1: L/min st: NotStopd
t0: [12:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [12:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [12:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 40 u1: mmHg st: NotStopd t0: [12:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 55 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [12:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 36 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [11:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:30:00 06/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 134 rs: Manual st: NotStopd t0: [12:00:00 06/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 06/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 06/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [12:00:00 06/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 06/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [12:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 06/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 06/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [12:00:00 06/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [11:30:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [11:30:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 10.5 vu: ml t0: [12:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [12:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [12:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [12:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 6.25 vu: ml
t0: [12:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:30:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [12:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:30:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 39 u1: mmHg st: NotStopd t0: [12:30:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 57 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [12:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [12:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [12:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [12:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 32 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [12:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd
t0: [12:31:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [12:31:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:31:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:31:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:31:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:31:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:31:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [12:31:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:31:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [12:31:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [12:31:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.8 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.1 u1: L/min st: NotStopd t0: [12:31:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [12:31:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [12:31:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:31:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:31:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:31:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:31:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [12:31:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [12:31:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:31:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [12:31:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:31:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [12:31:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [12:31:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [12:31:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [12:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [13:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [13:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [13:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [13:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [13:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 37.5 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 28 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 8.5 vu: ml t0: [13:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [13:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml t0: [13:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [13:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [13:00:00 06/07/2014] id: D5W 50.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [13:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:30:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [13:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [13:30:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 59 u1: mmHg v2: 28 u2: mmHg st: NotStopd t0: [13:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 120 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [13:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [13:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [13:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [13:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 6.5 vu: ml t0: [14:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [14:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml t0: [14:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [14:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 8.75 vu: ml
t0: [14:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [14:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [14:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 50 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [14:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [14:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [14:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 06/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml
t0: [14:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 24 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [14:45:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [15:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [15:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 36 u1: mmHg st: NotStopd t0: [15:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [15:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [15:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [15:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [15:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 20 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [15:00:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [15:00:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [15:15:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:15:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 8 u1: mmHg st: NotStopd t0: [15:15:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:15:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [15:15:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 37 u1: mmHg st: NotStopd t0: [15:15:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 54 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:15:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:15:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [15:15:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:15:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [15:15:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [15:15:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [15:15:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:15:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:15:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [15:15:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [15:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [15:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 6 vu: ml t0: [15:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [15:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 70 vu: ml t0: [15:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [15:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [16:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [16:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 104 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [16:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 42 u1: mmHg st: NotStopd t0: [16:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 68 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [16:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [16:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [15:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 4.25 vu: ml t0: [16:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 50 vu: ml t0: [16:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [16:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [15:57:00 06/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.2274 u1: ml/dl st: NotStopd t0: [15:57:00 06/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [15:57:00 06/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 90 u1: % rs: Final st: NotStopd
t0: [16:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 35.7143 u1: ml/cmH st: NotStopd t0: [16:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [16:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [16:00:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.3 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.3 u1: L/min st: NotStopd t0: [16:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [16:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT u1: % st: NotStopd t0: [16:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [16:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [16:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [16:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:15:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:15:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 4 u1: mmHg st: NotStopd t0: [16:15:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:15:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:15:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:15:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:15:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:15:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [16:15:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 40 u1: mmHg v2: 15 u2: mmHg st: NotStopd t0: [16:15:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 80 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [16:15:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [16:15:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:15:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:15:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:15:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:15:00 06/07/2014] tf: [11:15:00 07/07/2014] dt: 1140 id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [16:15:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:15:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:15:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 06/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 28.6 u1: % rs: Final st: NotStopd
t0: [16:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 7 u1: mmHg st: NotStopd t0: [16:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [16:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 35 u1: mmHg st: NotStopd t0: [16:30:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 56 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [16:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [16:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [16:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [16:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 75 vu: ml
t0: [16:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 06/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd
t0: [17:00:00 06/07/2014] id: PCWP el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 06/07/2014] id: Swan SVO2 el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:00:00 06/07/2014] id: C.O.(thermodilution) el: 0 cu: CCU cg: -1 st: D/C'd
t0: [17:00:00 06/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 136 rs: Manual st: NotStopd
t0: [17:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [17:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [17:00:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 48 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [17:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 89 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [17:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [17:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:16:00 06/07/2014] id: CVP el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:16:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: -1 st: D/C'd t0: [17:16:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: -1 st: D/C'd
t0: [17:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 1.5 vu: ml t0: [17:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [17:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [17:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [17:15:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:15:00 06/07/2014] id: CVP el: 0 cu: CCU cg: RN v1: 5 u1: mmHg st: NotStopd t0: [17:15:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:15:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [17:15:00 06/07/2014] id: PAP Mean el: 0 cu: CCU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [17:15:00 06/07/2014] id: PAP S/D el: 0 cu: CCU cg: RN v1: 43 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [17:15:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 79 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [17:15:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [17:15:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:15:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [17:15:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:15:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [17:15:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:15:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:15:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:15:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:17:00 06/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [17:17:00 06/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [17:19:00 06/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33 u1: % rs: Final st: NotStopd
t0: [17:00:00 06/07/2014] tf: [15:00:00 07/07/2014] dt: 1320 id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [17:00:00 06/07/2014] tf: [15:00:00 07/07/2014] dt: 1320 id: INV Line#2 D/C Date el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [17:00:00 06/07/2014] tf: [15:00:00 07/07/2014] dt: 1320 id: INV Line#2 Site Date el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [17:00:00 06/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [17:00:00 06/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [17:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 15913 id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 15913 id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [17:00:00 06/07/2014] tf: [18:13:00 17/07/2014] dt: 15913 id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [17:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [17:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [17:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [18:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [17:00:00 06/07/2014] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CCU cg: RN v1: 51 rs: Manual st: NotStopd
t0: [16:00:00 06/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: RN v1: 10 u1: gm/dl rs: Manual st: NotStopd t0: [17:00:00 06/07/2014] id: Cardiac Index el: 0 cu: CCU cg: RN v1: 2.03297 u1: ... st: NotStopd t0: [17:00:00 06/07/2014] id: SVR el: 0 cu: CCU cg: RN v1: 1189.19 u1: ... st: NotStopd t0: [17:00:00 06/07/2014] id: SVRI el: 0 cu: CCU cg: RN v1: 2167.49 u1: ... st: NotStopd t0: [17:00:00 06/07/2014] id: C.O. (fick) el: 0 cu: CCU cg: RN v1: 3.69079 u1: L/min st: NotStopd t0: [17:17:00 06/07/2014] id: CaO2 el: 0 cu: CCU cg: RN v1: 13.3111 u1: ml/dl st: NotStopd
t0: [18:00:00 06/07/2014] id: .45% Normal Saline 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
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: [18:00:00 06/07/2014] tf: [08:00:00 07/07/2014] dt: 840 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 3.5 vu: ml t0: [18:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vu: ml nb: 1 t0: [18:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 35 vu: ml t0: [18:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [18:00:00 06/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [18:00:00 06/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 70 vu: ml
t0: [18:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [18:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [18:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [18:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [18:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [18:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:45:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:45:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:45:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:45:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 106 u1: BPM st: NotStopd t0: [18:45:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [18:45:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 148 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [18:45:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [18:45:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:45:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 63.6 u1: kg st: NotStopd t0: [18:45:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [18:45:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:45:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 16 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [18:45:00 06/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:45:00 06/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:45:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU cg: RN so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [18:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [19:30:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 260 vu: ml
t0: [16:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [18:00:00 06/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 06/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 06/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [18:00:00 06/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [19:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: RN ai: 190 vo: 3.5 vu: ml t0: [19:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 60 vu: ml t0: [19:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [20:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 51.0204 u1: ml/cmH st: NotStopd t0: [20:00:00 06/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 06/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 06/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 06/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 06/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 06/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.4 st: NotStopd t0: [20:00:00 06/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 06/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 06/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 06/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 06/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [20:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 6.2 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.6 u1: L/min st: NotStopd t0: [20:00:00 06/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 06/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 06/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 06/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [20:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [20:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [20:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 14.8 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [20:00:00 06/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 06/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 06/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 06/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 06/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 06/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [20:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 1 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:00:00 06/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [20:00:00 06/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 06/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [20:00:00 06/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [20:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 06/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 06/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [20:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [20:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 06/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [20:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 06/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [20:00:00 06/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml t0: [20:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2 vu: ml t0: [20:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [20:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 240 vu: ml t0: [20:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [20:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [20:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:00:00 06/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 24.7525 u1: ml/cmH st: NotStopd t0: [21:00:00 06/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 06/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 06/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [21:00:00 06/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 5.1 st: NotStopd t0: [21:00:00 06/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [21:00:00 06/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [21:00:00 06/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [21:00:00 06/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [21:00:00 06/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [21:00:00 06/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7.8 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [21:00:00 06/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 4.9 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [21:00:00 06/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25.1 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [21:00:00 06/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [21:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [21:00:00 06/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 490 u1: ml/B st: NotStopd t0: [21:00:00 06/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [21:00:00 06/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [21:00:00 06/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [21:00:00 06/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [21:00:00 06/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 06/07/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 v1: Orientation st: NotStopd t0: [20:00:00 06/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 06/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 06/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 06/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 06/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 06/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 06/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 06/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 06/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 06/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 06/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 06/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [20:00:00 06/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 06/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 06/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 06/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 06/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 06/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 06/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 06/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 06/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 06/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [20:00:00 06/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [20:00:00 06/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [20:00:00 06/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 06/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 06/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [20:00:00 06/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: No Impairment st: NotStopd
t0: [21:00:00 06/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml
t0: [20:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [20:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [20:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [20:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [20:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [20:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [20:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [21:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [21:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 06/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [21:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [21:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [21:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [21:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [21:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [21:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [21:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [21:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [21:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15.2 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [21:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [21:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [22:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [22:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 06/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [22:00:00 06/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [22:00:00 06/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [22:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [22:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [22:00:00 06/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [22:00:00 06/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [22:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [22:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2.9 vu: ml t0: [21:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [21:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1.5 vu: ml t0: [21:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 7.5 vu: ml t0: [22:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3.75 vu: ml t0: [22:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [22:00:00 06/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 260 vu: ml t0: [22:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [22:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [22:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 06/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [23:00:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [23:00:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [23:00:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [23:00:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [23:00:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:30:00 06/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:30:00 06/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:30:00 06/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:30:00 06/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:30:00 06/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [23:30:00 06/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:30:00 06/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:30:00 06/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [23:30:00 06/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [23:30:00 06/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [23:30:00 06/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [23:30:00 06/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/07/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 v1: Orientation st: NotStopd t0: [00:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 30.1205 u1: ml/cmH st: NotStopd t0: [00:00:00 07/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 07/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 07/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 07/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 07/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 07/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 3.5 st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 07/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 07/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [00:00:00 07/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 07/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 07/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.9 u1: L/min st: NotStopd t0: [00:00:00 07/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 07/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 07/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 07/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 4.9 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [00:00:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [00:00:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 21.5 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 07/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 07/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [00:00:00 07/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 07/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [00:00:00 07/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 07/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [00:00:00 07/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 07/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 15 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 07/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [00:00:00 07/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [00:00:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [00:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [00:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [00:00:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 07/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 07/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CMV st: NotStopd t0: [00:00:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [00:00:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 07/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd t0: [00:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 07/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [00:00:00 07/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [00:00:00 07/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: No Impairment st: NotStopd
t0: [20:00:00 06/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml t0: [23:00:00 06/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3.75 vu: ml t0: [23:00:00 06/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [23:00:00 06/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 1 vu: ml t0: [23:00:00 06/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [00:00:00 07/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2.5 vu: ml t0: [00:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [00:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 260 vu: ml t0: [00:00:00 07/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [23:00:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [23:30:00 06/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:30:00 06/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [23:30:00 06/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 07/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [23:00:00 07/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 07/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 66.22 cv: 66.22 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 26.22 cv: 807.791 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 66.22 cv: 2522.79 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: -1 pv: 40 cv: 1180 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1985 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 66.22 cv: 537.792 ap: none t0: [23:00:00 07/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1985 ap: none t0: [23:00:00 07/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 66.22 cv: 4209.4 ap: none
t0: [01:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [01:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [01:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [01:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 07/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [02:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 117 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [02:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [02:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [02:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [02:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [02:00:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2.5 vu: ml t0: [01:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [01:00:00 07/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [01:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml t0: [02:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2 vu: ml t0: [02:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [02:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml t0: [02:00:00 07/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [02:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [02:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 07/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
id: Propofol el: 100 cu: CCU cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ra: 4.08 ru: ml/hr
t0: [03:00:00 07/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
id: N/A el: 1 cu: CCU cg: -1 io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [03:00:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [03:00:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [03:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 145 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [03:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [03:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd
t0: [03:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 07/07/2014] tf: [13:30:00 08/07/2014] dt: 2070 id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [03:30:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:30:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:30:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [03:30:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 82 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:30:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [03:30:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:30:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [03:30:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [03:30:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [03:30:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:30:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:30:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.178 u1: ml/cmH st: NotStopd t0: [04:00:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [04:00:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 5.1 st: NotStopd t0: [04:00:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [04:00:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.6 u1: L/min st: NotStopd t0: [04:00:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 4.9 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [04:00:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:00:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [04:00:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [04:00:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [04:00:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [04:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [04:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [04:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/07/2014] tf: [13:31:00 08/07/2014] dt: 2011 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 vu: ml nb: 1 t0: [03:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2 vu: ml t0: [03:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [03:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml t0: [04:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 4.08 vu: ml t0: [04:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 2.25 vu: ml t0: [04:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [04:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [04:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 07/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [02:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [02:00:00 07/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [02:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [02:00:00 07/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 07/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 07/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 07/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 07/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 07/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 07/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 07/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 07/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 07/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 07/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 07/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 07/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [04:00:00 07/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 07/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [04:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 07/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 07/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 07/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 07/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 07/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 07/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 2 mm v2: 2 mm st: NotStopd t0: [04:00:00 07/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 07/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [04:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 07/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 07/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 07/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 07/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [04:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [04:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [04:00:00 07/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 07/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 07/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [04:00:00 07/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [04:00:00 07/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: No Impairment st: NotStopd t0: [05:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [05:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [05:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [05:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [05:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [05:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml t0: [05:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 8.2 vu: ml t0: [05:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3 vu: ml t0: [05:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [05:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [05:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:29:00 07/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [05:29:00 07/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [05:29:00 07/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [05:29:00 07/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:29:00 07/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 91 u1: mmHg rs: Final st: NotStopd t0: [05:29:00 07/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd
t0: [05:15:00 07/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.4 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 26.1 u1: % rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9 u1: gm/dl rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 129 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.03 u1: /mic l rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.4 rs: Final st: NotStopd
t0: [06:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [06:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [06:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [06:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [06:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 8.16 vu: ml t0: [06:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3 vu: ml t0: [06:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [06:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [06:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [06:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:15:00 07/07/2014] id: INR (2-4 ref. range) Coags el: 0 cu: CCU cg: 140 v1: 1.1 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: PT(11-13.5) Coags el: 0 cu: CCU cg: 140 v1: 12.8 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: PTT(22-35) Coags el: 0 cu: CCU cg: 140 v1: 29.8 rs: Final st: NotStopd
t0: [05:15:00 07/07/2014] tf: [18:13:00 17/07/2014] dt: 15178 id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 101 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 129 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] tf: [18:13:00 17/07/2014] dt: 15178 id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 2.5 u1: mEq/L rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.3 rs: Final st: NotStopd t0: [05:15:00 07/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 139 rs: Final st: NotStopd
t0: [08:00:00 07/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [08:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [08:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 120 vu: ml t0: [08:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 90 vu: ml
t0: [08:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 07/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 07/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 07/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 07/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 07/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 07/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 07/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 07/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 07/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [08:00:00 07/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [08:00:00 07/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 07/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 07/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 07/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 07/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 07/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 07/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 07/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 07/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 07/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.8889 u1: Deg. C st: NotStopd t0: [08:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102 u1: Deg. F st: NotStopd
t0: [08:00:00 07/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 50 vu: ml t0: [08:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 0 vu: ml nb: 1 t0: [08:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 16.32 vu: ml t0: [08:00:00 07/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 100 vu: ml t0: [08:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 6 vu: ml t0: [08:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 20 vu: ml
t0: [08:00:00 07/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [08:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [08:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 07/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 st: NotStopd t0: [08:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd
t0: [08:40:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [08:40:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:40:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:40:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:40:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:40:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:40:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:40:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:40:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:40:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [08:40:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.2 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 5.9 u1: L/min st: NotStopd t0: [08:40:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [08:40:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:40:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:40:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:40:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:40:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:40:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:40:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:40:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:40:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [08:40:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:40:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:40:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:40:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:40:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:45:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:45:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [08:45:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 18 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:58:00 07/07/2014] id: Blood Products Hematology el: 0 cu: CCU cg: 140 v1: Y rs: Final st: NotStopd t0: [09:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [09:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 86 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [09:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [09:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [09:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 07/07/2014] tf: [09:35:00 07/07/2014] dt: 35 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 7.956 vu: ml t0: [09:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3.1875 vu: ml t0: [09:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [09:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 8.75 vu: ml
t0: [09:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 15 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 16 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 15 vu: ml
t0: [09:00:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd
t0: [09:15:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 14 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:30:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [09:30:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [09:35:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:35:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:35:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [09:35:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [09:35:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [09:35:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:35:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [09:35:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [09:35:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [09:35:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [09:35:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 39.3333 u1: Deg. C st: NotStopd t0: [09:35:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102.8 u1: Deg. F st: NotStopd t0: [09:35:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:35:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vu: ml st: Stopped t0: [09:35:00 07/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 vu: ml nb: 1
t0: [09:35:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:35:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 12 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [09:35:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [10:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 115 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [10:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [10:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [10:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 07/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 5 vu: ml t0: [10:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 6.12 vu: ml t0: [10:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 3.375 vu: ml t0: [10:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [10:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml t0: [10:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [10:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 10 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 15 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [10:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [10:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 07/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [10:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [10:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd
t0: [10:15:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 8 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 07/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 07/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [10:30:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 6 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:30:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 18 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:40:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip
t0: [10:40:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 07/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: -1 v1: 7.42 rs: Manual st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: -1 v1: 33 rs: Manual st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: -1 v1: 49 u1: mmHg rs: Manual st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg rs: Manual st: NotStopd t0: [10:00:00 07/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: -1 v1: 7.42 rs: Manual st: NotStopd t0: [10:45:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [10:45:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd
t0: [10:45:00 07/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml nb: 1
t0: [11:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [11:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [11:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [11:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [11:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [11:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 101.6 u1: Deg. F st: NotStopd t0: [11:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 7.004 vu: ml t0: [11:00:00 07/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 100 vu: ml t0: [11:00:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 1.625 vu: ml t0: [11:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [11:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 35 vu: ml t0: [11:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [11:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 3 du: mcgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 22 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:16:00 07/07/2014] id: D5W 250.0ml + 60mcgmin Neosynephrine IV Infusions el: 1 cu: CCU cg: -1 ai: 190 vo: 0 st: D/C'd
t0: [11:15:00 07/07/2014] id: Neosynephrine el: 1 cu: CCU so: D5W vo: 0 v1: 0 du: mcgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [11:15:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 26 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [12:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [12:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [12:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [12:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [12:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 07/07/2014] tf: [20:00:00 15/07/2014] dt: 12000 id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 0 vu: ml t0: [12:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 10.2 vu: ml t0: [12:00:00 07/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 100 vu: ml t0: [12:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [12:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [12:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [12:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [12:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 39 u1: Deg. C st: NotStopd t0: [12:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102.2 u1: Deg. F st: NotStopd
t0: [08:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 07/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 07/07/2014] tf: [18:13:00 17/07/2014] dt: 14893 id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [10:00:00 07/07/2014] tf: [18:13:00 17/07/2014] dt: 14893 id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [11:00:00 07/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd t0: [11:00:00 07/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [12:00:00 07/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [12:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 07/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 07/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 07/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [12:00:00 07/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 07/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [12:00:00 07/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 07/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 07/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 07/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 07/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 07/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 07/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 07/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 07/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [12:00:00 07/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 07/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 07/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 07/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 07/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 07/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 07/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Nonpurposeful st: NotStopd t0: [12:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 07/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 07/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 07/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 07/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 07/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 07/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 07/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 60 vu: ml t0: [12:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml
t0: [23:00:00 07/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 160 ap: none
t0: [12:00:00 07/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 163 rs: Manual st: NotStopd
t0: [12:15:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:15:00 07/07/2014] id: ETT Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [12:31:00 07/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [12:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 18 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:15:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 29.4118 u1: ml/cmH st: NotStopd t0: [12:15:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [12:15:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [12:15:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [12:15:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [12:15:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [12:15:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:15:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [12:15:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [12:15:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.5 u1: L/min st: NotStopd t0: [12:15:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [12:15:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [12:15:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [12:15:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [12:15:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [12:15:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:15:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [12:15:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [12:15:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [12:15:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [12:15:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [12:15:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [12:15:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [12:15:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [10:00:00 07/07/2014] tf: [12:31:00 07/07/2014] dt: 151 id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:30:00 07/07/2014] id: Packed RBC's IV Infusions el: 1 cu: CCU cg: -1 ai: 107 vo: 125 vu: ml
t0: [23:00:00 07/07/2014] dt: 24 id: Blood Products Total el: 1 cu: CCU cg: -1 cv: 375 ap: none
t0: [10:00:00 07/07/2014] id: Radiologic Study el: 0 cu: CCU cg: -1 v1: Chest Xray st: NotStopd
t0: [12:30:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [13:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [13:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 63.6 u1: kg st: NotStopd t0: [13:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 90 u1: % st: NotStopd t0: [13:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 7.752 vu: ml t0: [13:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [13:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 25 vu: ml t0: [13:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [13:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [13:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 22 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:15:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 24 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:21:00 07/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [13:21:00 07/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [13:21:00 07/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [13:21:00 07/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [13:21:00 07/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [13:21:00 07/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd
t0: [13:30:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [13:40:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 22 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:45:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [14:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [14:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [14:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [14:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 07/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [14:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 9.112 vu: ml t0: [14:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [14:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 110 vu: ml t0: [14:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [14:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [14:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 st: NotStopd t0: [14:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 st: NotStopd t0: [14:00:00 07/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 st: NotStopd t0: [14:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd
t0: [14:00:00 07/07/2014] id: Previous Weight el: 0 cu: CCU cg: CoWker v1: 61.9 u1: kg st: NotStopd t0: [14:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: CoWker v1: 61.9 u1: kg st: NotStopd t0: [14:00:00 07/07/2014] id: BSA - English el: 0 cu: CCU cg: CoWker v1: 1.11772 u1: m2 st: NotStopd t0: [14:00:00 07/07/2014] id: BSA - Metric el: 0 cu: CCU cg: CoWker v1: 1.30872 u1: m2 st: NotStopd t0: [14:00:00 07/07/2014] id: Weight Change el: 0 cu: CCU cg: CoWker v1: 0 u1: kg st: NotStopd t0: [14:00:00 07/07/2014] id: Daily Weight el: 0 cu: CCU cg: CoWker v1: 61.9 u1: kg st: NotStopd
t0: [14:30:00 07/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd t0: [14:30:00 07/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [14:30:00 07/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [14:30:00 07/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 52 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 07/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [14:30:00 07/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.41 rs: Final st: NotStopd
t0: [15:00:00 07/07/2014] id: INV#2Chg o/Wire Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2 D/C Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2 Site Date el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2 Type/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2 Zero/Cal el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2InsertDate el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV Line#2SiteAppear el: 0 cu: CCU cg: -1 st: D/C'd t0: [15:00:00 07/07/2014] id: INV#2 WaveformAppear el: 0 cu: CCU cg: -1 st: D/C'd
io: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ra: 20 ru: ml/hr
id: Respalor el: 1 cu: CCU cg: -1 io: Respalor Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [14:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [15:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [15:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [15:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [15:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 07/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml nb: 1 t0: [15:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 8.16 vu: ml t0: [15:00:00 07/07/2014] id: Promote w/fiber Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 60 vu: ml t0: [15:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 340 vu: ml t0: [15:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [15:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:00:00 07/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 0 vu: ml nb: 1
t0: [16:00:00 07/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 07/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 07/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [16:00:00 07/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [16:00:00 07/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 8 u1: points st: NotStopd t0: [16:00:00 07/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 07/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [16:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 07/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 07/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft Distended st: NotStopd t0: [16:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 07/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 07/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 07/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [16:00:00 07/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 07/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 07/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 07/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [16:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [16:00:00 07/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 07/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 07/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 07/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 07/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 07/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 07/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 07/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 07/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 07/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [16:00:00 07/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 07/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [16:00:00 07/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 07/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 07/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 07/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 07/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 07/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 07/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 07/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 07/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8333 u1: Deg. C st: NotStopd t0: [16:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.3 u1: Deg. F st: NotStopd t0: [16:00:00 07/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 07/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 07/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 07/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 07/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 07/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 07/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 07/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [16:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 8.16 vu: ml t0: [16:00:00 07/07/2014] tf: [07:00:00 08/07/2014] dt: 900 id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 20 vu: ml t0: [16:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 140 vu: ml t0: [16:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [16:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:25:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 25 u1: ml/cmH st: NotStopd t0: [16:25:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:25:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:25:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [16:25:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:25:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:25:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:25:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:25:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [16:25:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [16:25:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.1 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.2 u1: L/min st: NotStopd t0: [16:25:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:25:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:25:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:25:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [16:25:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [16:25:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:25:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 92 u1: % st: NotStopd t0: [16:25:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [16:25:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [16:25:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [16:25:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [16:25:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:25:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [16:25:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:25:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [17:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [17:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 12 u1: BPM st: NotStopd t0: [17:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:20:00 07/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.6 u1: % rs: Final st: NotStopd t0: [18:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 07/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [18:00:00 07/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [18:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [18:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [18:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [18:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 07/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: RN v1: 91 rs: Manual st: NotStopd
t0: [18:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 18.36 vu: ml t0: [18:00:00 07/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [18:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 230 vu: ml t0: [18:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [17:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:20:00 07/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd
t0: [20:00:00 07/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 29.7619 u1: ml/cmH st: NotStopd t0: [20:00:00 07/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 07/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 07/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [20:00:00 07/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.6 st: NotStopd t0: [20:00:00 07/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 07/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 07/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 07/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [20:00:00 07/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 07/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 11.4 u1: L/min st: NotStopd t0: [20:00:00 07/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5.2 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 07/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:00:00 07/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 07/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [20:00:00 07/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [20:00:00 07/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 07/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [20:00:00 07/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 07/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CMV st: NotStopd t0: [20:00:00 07/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [20:00:00 07/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 07/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [19:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [19:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [19:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 07/07/2014] id: Previous Weight el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [20:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [20:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [20:00:00 07/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Rectal st: NotStopd t0: [20:00:00 07/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [20:00:00 07/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 100.2 u1: Deg. F st: NotStopd t0: [20:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20.4 vu: ml t0: [20:00:00 07/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 40 vu: ml t0: [20:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 190 vu: ml t0: [20:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [19:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [21:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [21:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [21:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [21:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [21:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [22:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [22:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:30:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:30:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:30:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 96 u1: BPM st: NotStopd t0: [22:30:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:30:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 126 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [22:30:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [22:30:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:30:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [22:30:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:30:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [22:30:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: RN ai: 189 vo: 20.4 vu: ml t0: [22:00:00 07/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 80 vu: ml t0: [22:00:00 07/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [22:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [21:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:30:00 07/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:30:00 07/07/2014] id: Propofol el: 1 cu: CCU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [22:45:00 07/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [22:45:00 07/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [22:45:00 07/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [22:45:00 07/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [22:45:00 07/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [22:45:00 07/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd
t0: [23:00:00 07/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 07/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 07/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 07/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 07/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [23:00:00 07/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 07/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [23:00:00 07/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [23:00:00 07/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 07/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [23:00:00 07/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 07/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [23:00:00 07/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 08/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 08/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 08/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 08/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 08/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 08/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 08/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 08/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 08/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 08/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [00:00:00 08/07/2014] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 121 u1: mmHg st: NotStopd t0: [00:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 08/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 08/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 08/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [00:00:00 08/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 08/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [00:00:00 08/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 08/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 08/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 08/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 08/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 08/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 08/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [00:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 08/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [00:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [00:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [00:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [00:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 08/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: No Apparent Prob st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 08/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [00:00:00 08/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd
t0: [23:00:00 07/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [23:00:00 07/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 11.22 vu: ml t0: [23:00:00 07/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 40 vu: ml t0: [23:00:00 07/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [00:00:00 08/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml t0: [00:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [00:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [00:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [00:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [00:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 07/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 07/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 08/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 08/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1021.58 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2354.08 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 922.5 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 2450 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -95.9181 ap: none t0: [23:00:00 08/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 2450 ap: none t0: [23:00:00 08/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 4113.48 ap: none
t0: [00:00:00 08/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 145 rs: Manual st: NotStopd
t0: [00:00:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 16.7785 u1: ml/cmH st: NotStopd t0: [00:00:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [00:00:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:5.2 st: NotStopd t0: [00:00:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:00:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:00:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [00:00:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [00:00:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.9 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.19 u1: L/min st: NotStopd t0: [00:00:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5.2 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [00:00:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [00:00:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:00:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:00:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CMV st: NotStopd t0: [00:00:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [00:00:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:00:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [01:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [01:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [01:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [01:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [01:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [01:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [01:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [02:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [02:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [02:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [02:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [02:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [02:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 24.48 vu: ml t0: [02:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [02:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml t0: [02:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [01:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:00:00 08/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [02:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [02:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [03:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [03:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [03:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [03:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [03:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 08/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [04:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 7 u1: points st: NotStopd t0: [04:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [04:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 08/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 08/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 08/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 08/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 08/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 08/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 08/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 08/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [04:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 08/07/2014] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 08/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 08/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 08/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 08/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 08/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 08/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [04:00:00 08/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 08/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 08/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 08/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [04:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 08/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Children st: NotStopd t0: [04:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [04:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [04:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 08/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd
t0: [04:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [04:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 24.48 vu: ml t0: [04:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [04:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml t0: [04:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [03:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:00:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.5185 u1: ml/cmH st: NotStopd t0: [05:00:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [05:00:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [05:00:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.3 st: NotStopd t0: [05:00:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [05:00:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [05:00:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [05:00:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [05:00:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [05:00:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.8 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.4 u1: L/min st: NotStopd t0: [05:00:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [05:00:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [05:00:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [05:00:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [05:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [05:00:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [05:00:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [05:00:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CMV st: NotStopd t0: [05:00:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [05:00:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [05:00:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd t0: [06:00:00 08/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 132 rs: Manual st: NotStopd
t0: [05:20:00 08/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.5 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 27.8 u1: % rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.28 u1: /mic l rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.5 rs: Final st: NotStopd
t0: [05:20:00 08/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 98 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 122 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 1.9 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.3 u1: mEq/L rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [05:20:00 08/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [05:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [05:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 236 u1: mmHg st: NotStopd t0: [05:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [05:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [05:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [06:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 124 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [06:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [06:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [06:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [06:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [05:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [05:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [05:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 300 vu: ml t0: [05:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [06:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [06:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [06:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [06:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 360 vu: ml t0: [06:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [07:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [07:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [07:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 380 vu: ml t0: [07:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [05:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [07:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [07:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [07:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [07:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [07:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [07:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [07:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml st: Stopped
t0: [07:53:00 08/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [07:53:00 08/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [07:53:00 08/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [07:53:00 08/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [07:53:00 08/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [07:53:00 08/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd
t0: [08:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [08:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 111 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [08:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [08:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [08:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [08:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 101.6 u1: Deg. F st: NotStopd t0: [08:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 08/07/2014] tf: [08:00:00 13/07/2014] dt: 7200 id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 0 vu: ml nb: 1 t0: [08:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [08:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 22.5 vu: ml t0: [08:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 480 vu: ml t0: [08:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [08:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:10:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.6567 u1: ml/cmH st: NotStopd t0: [08:10:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:10:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:10:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [08:10:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:10:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 2.3 st: NotStopd t0: [08:10:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:10:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:10:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [08:10:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:10:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:10:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [08:10:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5.2 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:10:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [08:10:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:10:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:10:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [08:10:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:10:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:10:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:10:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Bloody v2: Thick st: NotStopd t0: [08:10:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [08:10:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [08:10:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:10:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:10:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:10:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:10:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 08/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [08:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 08/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 7 u1: points st: NotStopd t0: [08:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 08/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 08/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [08:00:00 08/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [08:00:00 08/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 08/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 08/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 08/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 08/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 08/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 08/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 08/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [08:00:00 08/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [08:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 08/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 08/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 08/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 08/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 08/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 08/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 08/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 08/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 08/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml nb: 1 t0: [08:00:00 08/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 20 vu: ml t0: [08:00:00 08/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 200 vu: ml
t0: [09:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [09:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [09:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [09:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [09:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [09:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 08/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml nb: 1 t0: [09:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [09:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [09:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [09:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [08:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml st: NotStopd t0: [09:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml
t0: [09:00:00 08/07/2014] id: Radiologic Study el: 0 cu: CCU cg: -1 v1: Chest Xray st: NotStopd t0: [10:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [10:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [10:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [10:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [10:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [10:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [10:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [10:00:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [10:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [10:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [10:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 12.24 vu: ml t0: [10:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [10:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 85 vu: ml t0: [10:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [10:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 08/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml nb: 1
t0: [10:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 28 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:30:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 18.7266 u1: ml/cmH st: NotStopd t0: [10:30:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [10:30:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [10:30:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [10:30:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [10:30:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 3.1 st: NotStopd t0: [10:30:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [10:30:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [10:30:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [10:30:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [10:30:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [10:30:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.6 u1: L/min st: NotStopd t0: [10:30:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5.3 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [10:30:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [10:30:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [10:30:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [10:30:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [10:30:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [10:30:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [10:30:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 91 u1: % st: NotStopd t0: [10:30:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [10:30:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [10:30:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [10:30:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [10:30:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [10:30:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [09:15:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [10:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [16:15:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [16:30:00 06/07/2014] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 63.6 u1: kg st: NotStopd t0: [16:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [17:30:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [18:00:00 06/07/2014] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 63.6 u1: kg st: NotStopd t0: [18:00:00 06/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [10:37:00 08/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [10:37:00 08/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [10:37:00 08/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [10:37:00 08/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 08/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 92 u1: mmHg rs: Final st: NotStopd t0: [10:37:00 08/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd
t0: [09:30:00 08/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.3 u1: % rs: Final st: NotStopd
t0: [11:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 08/07/2014] id: ETT Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [11:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [11:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [11:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [11:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [11:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [11:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [11:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [11:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 11.424 vu: ml t0: [11:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [11:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [11:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [11:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 22 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [10:00:00 08/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [10:00:00 08/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 08/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 08/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [12:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [12:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [12:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [12:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 8.976 vu: ml t0: [12:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [12:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [12:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [12:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 24 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:00:00 08/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 08/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [12:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [12:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 08/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [12:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 08/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft Distended st: NotStopd t0: [12:00:00 08/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [12:00:00 08/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 08/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 08/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 08/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 08/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 08/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 08/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 08/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 08/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 08/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 st: NotStopd t0: [12:00:00 08/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 st: NotStopd t0: [12:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [12:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 08/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 08/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 08/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 08/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 08/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Nonpurposeful st: NotStopd t0: [12:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [12:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 38.8889 u1: Deg. C st: NotStopd t0: [12:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 102 u1: Deg. F st: NotStopd t0: [12:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [12:00:00 08/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 08/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 08/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 08/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 121 rs: Manual st: NotStopd
id: Midazolam el: 101 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 10mghr Midazolam IV Drips am: 10 du: mghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 10mghr Midazolam IV Drips vo: 50 du: ml rt: Intravenous Push
t0: [13:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [13:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [13:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [13:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [13:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [13:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 08/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 5 vu: ml t0: [12:00:00 08/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 150 vu: ml t0: [13:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [13:00:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 9.792 vu: ml t0: [13:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [13:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [13:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [12:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 v1: 26 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:31:00 08/07/2014] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [13:00:00 08/07/2014] tf: [18:13:00 17/07/2014] dt: 13273 id: Procedures el: 0 cu: CCU cg: -1 st: NotStopd
t0: [13:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [13:30:00 08/07/2014] id: Propofol el: 1 cu: CCU so: N/A vo: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip st: Stopped
t0: [14:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [14:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [14:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [14:00:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [14:00:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [14:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:30:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 0 vu: ml nb: 1 t0: [14:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [14:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [14:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml t0: [14:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [14:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 1.5 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 08/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Called st: NotStopd t0: [14:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [14:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [14:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [14:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 08/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: -1 v1: Negative st: NotStopd t0: [14:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [14:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd
t0: [14:00:00 08/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: -1 vu: ml t0: [14:00:00 08/07/2014] tf: [18:00:00 13/07/2014] dt: 7440 id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2.5 vu: ml
t0: [14:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [14:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [14:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [14:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [14:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [14:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [14:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [14:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd
t0: [14:30:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:31:00 08/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd t0: [14:31:00 08/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [14:31:00 08/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [14:31:00 08/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [14:31:00 08/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [14:31:00 08/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.44 rs: Final st: NotStopd
t0: [14:30:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [15:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [15:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [15:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 08/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [15:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 122 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [15:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [15:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [15:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [15:00:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: White v2: Thick st: NotStopd t0: [15:00:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [15:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [15:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 45 vu: ml t0: [15:00:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 8.75 vu: ml t0: [15:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 7.5 vu: ml
t0: [15:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:45:00 08/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd
t0: [15:45:00 08/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml
id: Midazolam el: 203 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions am: 50 du: mghr rt: IV Drip
io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ra: 2 ru: ml/hr
id: .9% Normal Saline el: 2 cu: CCU cg: -1 io: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [15:55:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 24.8756 u1: ml/cmH st: NotStopd t0: [15:55:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [15:55:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:55:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [15:55:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [15:55:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 4.3 st: NotStopd t0: [15:55:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:55:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [15:55:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34.2 u1: Deg. C st: NotStopd t0: [15:55:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [15:55:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 8.3 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [15:55:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 5.2 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [15:55:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [15:55:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25.3 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [15:55:00 08/07/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 5 u1: . st: NotStopd t0: [15:55:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [15:55:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [15:55:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [15:55:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [15:55:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 92 u1: % st: NotStopd t0: [15:55:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 520 u1: ml/B st: NotStopd t0: [15:55:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [15:55:00 08/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [15:55:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: SIMV+PS st: NotStopd t0: [15:55:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [15:55:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [15:55:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [15:55:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd
t0: [14:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [16:00:00 08/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [16:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 08/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 08/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 08/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [16:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 08/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [16:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [16:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 08/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [16:00:00 08/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 08/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 08/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 08/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 08/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 08/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [16:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 08/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 08/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 08/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 08/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [16:00:00 08/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [16:00:00 08/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:00:00 08/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 08/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 08/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [16:00:00 08/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 08/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 08/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [16:00:00 08/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [16:00:00 08/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [16:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Agitated st: NotStopd t0: [16:00:00 08/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 08/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [16:00:00 08/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [16:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [16:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [16:00:00 08/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: -1 vo: 0 vu: ml t0: [16:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml t0: [16:00:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 10 vu: ml t0: [16:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [16:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/07/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: -1 cv: 0 ap: none
t0: [16:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [17:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 119 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [17:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [17:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [17:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [17:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 45 vu: ml t0: [17:00:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [17:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [17:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RT v1: 30.303 u1: ml/cmH st: NotStopd t0: [17:00:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RT v1: 0.4 u1: torr st: NotStopd t0: [17:00:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RT v1: 6 u1: lpm st: NotStopd t0: [17:00:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RT v1: 50 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RT v1: 35 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RT v1: 7.5 mm st: NotStopd t0: [17:00:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RT v1: Endotracheal st: NotStopd t0: [17:00:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RT v1: 7 v2: 17 st: NotStopd t0: [17:00:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RT v1: 5 st: NotStopd t0: [17:00:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RT v1: 9.9 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RT v1: 6.5 u1: L/min st: NotStopd t0: [17:00:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RT v1: 7.5 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RT v1: 75 u1: L/m st: NotStopd t0: [17:00:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RT v1: 24 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RT v1: 17 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RT v1: Yes st: NotStopd t0: [17:00:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RT v1: 0 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RT v1: 12 u1: BPM st: NotStopd t0: [17:00:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RT v1: 520 u1: ml/B st: NotStopd t0: [17:00:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RT v1: 500 u1: ml/B st: NotStopd t0: [17:00:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RT v1: Assist Control st: NotStopd t0: [17:00:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RT v1: 24 u1: # st: NotStopd t0: [17:00:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RT v1: 7200A st: NotStopd t0: [17:00:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RT v1: RAMP st: NotStopd
t0: [16:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Rectal st: NotStopd t0: [16:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [16:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 100 u1: Deg. F st: NotStopd t0: [16:30:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:30:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:30:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [16:30:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 166 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [16:30:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 117 u1: mmHg st: NotStopd t0: [16:30:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:30:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:30:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:30:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 80 u1: % st: NotStopd t0: [16:30:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:35:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:35:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:35:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 108 u1: BPM st: NotStopd t0: [16:35:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 147 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [16:35:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg st: NotStopd t0: [16:35:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:35:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:35:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [16:35:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 86 u1: % st: NotStopd t0: [16:35:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:40:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:40:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:40:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 113 u1: BPM st: NotStopd t0: [16:40:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 155 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [16:40:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg st: NotStopd t0: [16:40:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:40:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:40:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:40:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [16:40:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [16:40:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:45:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:45:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:45:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [16:45:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 160 u1: mmHg v2: 86 u2: mmHg st: NotStopd t0: [16:45:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 115 u1: mmHg st: NotStopd t0: [16:45:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:45:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:45:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:45:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [16:45:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [16:45:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:50:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:50:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:50:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [16:50:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 160 u1: mmHg v2: 84 u2: mmHg st: NotStopd t0: [16:50:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 112 u1: mmHg st: NotStopd t0: [16:50:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:50:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:50:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:50:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [16:50:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:55:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:55:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:55:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [16:55:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 151 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:55:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg st: NotStopd t0: [16:55:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:55:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [16:55:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:55:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 86 u1: % st: NotStopd t0: [16:55:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:30:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:30:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:35:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:35:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:40:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:40:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:45:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:45:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:50:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:50:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:55:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:55:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 08/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [17:00:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Bloody v2: Thick st: NotStopd t0: [17:00:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [18:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 08/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [18:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [18:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 08/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 08/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Fair st: NotStopd t0: [18:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [18:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [18:00:00 08/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: -1 v1: 61.9 u1: kg st: NotStopd t0: [18:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [18:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 08/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [18:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 08/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [18:00:00 08/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml nb: 1 t0: [18:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [18:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 15 vu: ml t0: [18:00:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [18:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [18:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:40:00 08/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd t0: [18:40:00 08/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [18:40:00 08/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [18:40:00 08/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 49 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 08/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [18:40:00 08/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.43 rs: Final st: NotStopd
t0: [19:33:00 08/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [19:33:00 08/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [19:33:00 08/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [19:33:00 08/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [19:33:00 08/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [19:33:00 08/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:5 st: NotStopd t0: [19:33:00 08/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [19:33:00 08/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [19:33:00 08/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [19:33:00 08/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [19:33:00 08/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [19:33:00 08/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 6.9 u1: L/min st: NotStopd t0: [19:33:00 08/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [19:33:00 08/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [19:33:00 08/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [19:33:00 08/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [19:33:00 08/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [19:33:00 08/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [19:33:00 08/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [19:33:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 93 u1: % st: NotStopd t0: [19:33:00 08/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:33:00 08/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [19:33:00 08/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [19:33:00 08/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [19:33:00 08/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [19:33:00 08/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 08/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [20:00:00 08/07/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Negative st: NotStopd t0: [20:00:00 08/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 08/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [20:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [20:00:00 08/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [20:00:00 08/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [20:00:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [20:00:00 08/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 08/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 08/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 08/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [20:00:00 08/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 08/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 08/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 08/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 08/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 08/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 08/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [20:00:00 08/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [20:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [20:00:00 08/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [20:00:00 08/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [20:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 08/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 08/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.8889 u1: Deg. C st: NotStopd t0: [20:00:00 08/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.4 u1: Deg. F st: NotStopd
t0: [20:00:00 08/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 20 vu: ml t0: [20:00:00 08/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml
t0: [23:00:00 08/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 410 ap: none
t0: [20:24:00 08/07/2014] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.82242 u1: m2 t0: [20:24:00 08/07/2014] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [20:24:00 08/07/2014] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: ACUTE MYOCARDIAL INFARCTION t0: [20:24:00 08/07/2014] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [20:24:00 08/07/2014] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 69 u1: inches t0: [20:24:00 08/07/2014] id: Readmission el: 1014 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [20:24:00 08/07/2014] id: Religion el: 1000 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: Ext el: 1010 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: PIN el: 1012 cu: CCU cg: -1 t0: [20:24:00 08/07/2014] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [21:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [21:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [21:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [21:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 08/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [22:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [22:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [22:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [22:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [22:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 13 u1: BPM st: NotStopd t0: [22:00:00 08/07/2014] id: Significant Events el: 0 cu: CCU cg: RN st: NotStopd t0: [22:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [22:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:20:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:20:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:20:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:20:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:20:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 150 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [22:20:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:20:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:20:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 87 u1: % st: NotStopd t0: [22:20:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 3 du: mghr sv: 50 su: ml rt: IV Drip t0: [22:20:00 08/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:20:00 08/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 08/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 08/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 08/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 08/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 08/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 08/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:00:00 08/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [23:00:00 08/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [23:00:00 08/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 08/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [23:00:00 08/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 08/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 08/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 09/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 129 rs: Manual st: NotStopd
t0: [22:00:00 08/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 08/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [22:20:00 08/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:20:00 08/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [22:20:00 08/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [22:20:00 08/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [22:20:00 08/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [22:20:00 08/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [23:00:00 08/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 08/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [23:00:00 08/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 08/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [23:00:00 08/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 08/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 09/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 09/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [00:00:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 6 u1: points st: NotStopd t0: [00:00:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 09/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [00:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [00:00:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [00:00:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [00:00:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [00:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 09/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 09/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 09/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [00:00:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12613 id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 09/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 09/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [00:00:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [00:00:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [00:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [00:00:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [00:00:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [00:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [00:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 09/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 09/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [00:00:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Clear st: NotStopd t0: [00:00:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 09/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [00:00:00 09/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 12 u1: number st: NotStopd t0: [00:00:00 09/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [00:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [00:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 180 vu: ml t0: [00:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [00:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 13.6667 vu: ml t0: [00:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 20 vu: ml
t0: [00:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 cv: 0 ap: none t0: [23:00:00 09/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 62 cv: 62 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 17 cv: 985.667 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 62 cv: 2420.67 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: -1 pv: 45 cv: 1215 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 cv: 2630 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 62 cv: -209.333 ap: none t0: [23:00:00 09/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 cv: 2630 ap: none t0: [23:00:00 09/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 62 cv: 3904.15 ap: none
t0: [00:15:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 26.455 u1: ml/cmH st: NotStopd t0: [00:15:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:15:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:15:00 09/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:15:00 09/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:15:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:4.1 st: NotStopd t0: [00:15:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:15:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:15:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34.1 u1: Deg. C st: NotStopd t0: [00:15:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:15:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [00:15:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.5 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.4 u1: L/min st: NotStopd t0: [00:15:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:15:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 26.4 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 19.5 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [00:15:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [00:15:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:15:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:15:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:15:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:15:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [00:15:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:15:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [00:15:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [00:15:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:15:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [01:05:00 09/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [01:05:00 09/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [01:05:00 09/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [01:05:00 09/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [01:05:00 09/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [01:05:00 09/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd
t0: [01:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [01:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [01:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [02:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [02:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [02:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [02:00:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [02:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [02:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [02:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 8 vu: ml t0: [02:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [02:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [02:00:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37 u1: Deg. C st: NotStopd t0: [02:00:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.6 u1: Deg. F st: NotStopd t0: [03:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [03:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [03:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [03:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [03:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 09/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 09/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 09/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [04:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [04:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [04:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [04:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [04:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [04:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 8 vu: ml t0: [04:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [04:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:30:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 18.4502 u1: ml/cmH st: NotStopd t0: [04:30:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:30:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:30:00 09/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:30:00 09/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:30:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:1,4 st: NotStopd t0: [04:30:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:30:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [04:30:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:30:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:30:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [04:30:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 14.5 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.2 u1: L/min st: NotStopd t0: [04:30:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [04:30:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 34.6 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 20.8 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [04:30:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:30:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [04:30:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [04:30:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [04:30:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:30:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [04:30:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [04:30:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [04:30:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [05:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [05:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [05:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [05:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [05:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 09/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 120 rs: Manual st: NotStopd
t0: [06:41:00 09/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [06:41:00 09/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [06:41:00 09/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [06:41:00 09/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [06:41:00 09/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 83 u1: mmHg rs: Final st: NotStopd t0: [06:41:00 09/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd
t0: [07:00:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 27.027 u1: ml/cmH st: NotStopd t0: [07:00:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.5 st: NotStopd t0: [07:00:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:00:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [07:00:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [07:00:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.9 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [07:00:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [07:00:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [07:00:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [07:00:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [07:00:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [07:00:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [07:00:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [07:00:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [06:30:00 09/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.8 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.2 u1: % rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 191 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.48 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 9.8 rs: Final st: NotStopd
t0: [06:30:00 09/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 35 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 102 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 128 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 140 rs: Final st: NotStopd
t0: [09:00:00 09/07/2014] id: AntiEmbDevice/Status el: 0 cu: CCU cg: -1 st: D/C'd
t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0.1 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 1.4 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 5.5 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 3.4 rs: Final st: NotStopd t0: [06:30:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 12223 id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 89.6 rs: Final st: NotStopd
t0: [07:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [07:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [07:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [07:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 109 u1: BPM st: NotStopd t0: [07:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [07:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 155 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [07:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 110 u1: mmHg st: NotStopd t0: [07:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:30:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [07:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [07:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [07:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 09/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [08:00:00 09/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [08:00:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 09/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 09/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [08:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [08:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [08:00:00 09/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 09/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 09/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Stimul st: NotStopd t0: [08:00:00 09/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Clean and Dry v2: Clean and Dry st: NotStopd t0: [08:00:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 09/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [08:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [08:00:00 09/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 09/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 09/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 09/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [08:00:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 09/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 09/07/2014] id: Previous Weight el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [08:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [08:00:00 09/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [08:00:00 09/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 09/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [08:00:00 09/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 09/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [08:00:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 09/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Restless st: NotStopd t0: [08:00:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 09/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 09/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [09:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [09:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [09:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [09:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [09:00:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [09:00:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [09:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 09/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [08:00:00 09/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [08:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 180 vu: ml t0: [08:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [08:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 16 vu: ml t0: [08:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 20 vu: ml
t0: [07:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [07:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [07:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 09/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [10:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [10:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 09/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [10:30:00 09/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [10:30:00 09/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [10:30:00 09/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [10:30:00 09/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:30:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:30:00 09/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [10:30:00 09/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:30:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [10:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [10:30:00 09/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [10:30:00 09/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [10:30:00 09/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:30:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 25 vu: ml t0: [10:30:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 112.5 vu: ml t0: [10:30:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [10:30:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 10 vu: ml t0: [10:30:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 12.5 vu: ml
t0: [10:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:30:00 09/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml
t0: [09:00:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [09:00:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 103 u1: BPM st: NotStopd t0: [11:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [11:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [11:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [11:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [11:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 89 u1: % st: NotStopd t0: [11:30:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Bloody v2: Thick st: NotStopd t0: [11:30:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [11:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [12:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [12:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:30:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:30:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:30:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 1 No Response st: NotStopd t0: [12:30:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 7 u1: points st: NotStopd t0: [12:30:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 09/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:30:00 09/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [12:30:00 09/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:30:00 09/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [12:30:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:30:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:30:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:30:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:30:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:30:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:30:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [12:30:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [12:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [12:30:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:30:00 09/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [12:30:00 09/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [12:30:00 09/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Yes st: NotStopd t0: [12:30:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [12:30:00 09/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [12:30:00 09/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [12:30:00 09/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [12:30:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [12:30:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [12:30:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [12:30:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:30:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [12:30:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:30:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:30:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:30:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:30:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:30:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [12:30:00 09/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:30:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [12:30:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:30:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:30:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [12:30:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:30:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:30:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:30:00 09/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sedated st: NotStopd t0: [12:30:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [12:30:00 09/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [12:30:00 09/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [12:30:00 09/07/2014] tf: [08:00:00 16/07/2014] dt: 9810 id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:30:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [12:30:00 09/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 50 vu: ml t0: [12:30:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [12:30:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [12:30:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [12:30:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [12:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:30:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 27.027 u1: ml/cmH st: NotStopd t0: [12:30:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:30:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:30:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.5 st: NotStopd t0: [12:30:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:30:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:30:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:30:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:30:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [12:30:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.6 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.5 u1: L/min st: NotStopd t0: [12:30:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [12:30:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 26 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:30:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:30:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [12:30:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [12:30:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [12:30:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [12:30:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [12:30:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [12:30:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [12:30:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [13:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [13:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [13:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 86 u1: mmHg st: NotStopd t0: [13:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:30:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: RN v1: 61.9 u1: kg st: NotStopd t0: [13:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [13:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:30:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [13:30:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 650 vu: ml t0: [13:30:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [13:30:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [13:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:52:00 09/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [13:52:00 09/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [13:52:00 09/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [13:52:00 09/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [13:52:00 09/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [13:52:00 09/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd
t0: [14:30:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:30:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:30:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [14:30:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [14:30:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:30:00 09/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [14:30:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [14:30:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [14:30:00 09/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [14:30:00 09/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [14:30:00 09/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:30:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [14:30:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:30:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [14:30:00 09/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [14:30:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [14:30:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:30:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [14:30:00 09/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:30:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:30:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [14:30:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [14:30:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [14:30:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:30:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [14:30:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 15 u1: BPM st: NotStopd t0: [14:30:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:30:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:30:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [14:30:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:30:00 09/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [14:30:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [14:30:00 09/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [14:30:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [14:30:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:30:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:30:00 09/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:30:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [14:30:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [14:30:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 500 vu: ml t0: [14:30:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [14:30:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [14:30:00 09/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:30:00 09/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 119 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [15:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 3 To speech st: NotStopd t0: [16:00:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 9 u1: points st: NotStopd t0: [16:00:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [16:00:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [16:00:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [16:00:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [16:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 15 vu: ml t0: [16:00:00 09/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 30 vu: ml t0: [16:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 67.5 vu: ml t0: [16:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 400 vu: ml t0: [16:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 3 vu: ml t0: [16:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 7.5 vu: ml
t0: [15:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 st: NotStopd t0: [15:00:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 u1: Deg. C st: NotStopd t0: [15:00:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 u1: Deg. F st: NotStopd t0: [16:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [16:00:00 09/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [16:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [16:00:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [16:00:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [16:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [16:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [16:00:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [16:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 09/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [16:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 09/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml
t0: [17:00:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [17:00:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 28.5714 u1: ml/cmH st: NotStopd t0: [16:00:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.5 st: NotStopd t0: [16:00:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [16:00:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9.8 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.1 u1: L/min st: NotStopd t0: [16:00:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [16:00:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [16:00:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [17:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 113 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [17:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [17:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [18:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 09/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [18:00:00 09/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [18:00:00 09/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [18:00:00 09/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [18:00:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [18:00:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 09/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [18:00:00 09/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [18:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [18:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [18:00:00 09/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [18:00:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [18:00:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [18:00:00 09/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Clean and Dry st: NotStopd t0: [18:00:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [18:00:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [18:00:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [18:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [18:00:00 09/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [18:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [18:00:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [18:00:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [18:00:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [18:00:00 09/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [18:00:00 09/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [18:00:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [18:00:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [18:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [18:00:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [18:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [18:00:00 09/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [18:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [18:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [18:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [18:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [18:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 09/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [18:00:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [18:00:00 09/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [18:00:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [18:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [17:00:00 09/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml t0: [17:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [17:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [17:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml t0: [17:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [17:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [18:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [18:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [18:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml t0: [18:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [18:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [17:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 09/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [20:00:00 09/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 09/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 09/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.8 st: NotStopd t0: [20:00:00 09/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 09/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 09/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 09/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [20:00:00 09/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [20:00:00 09/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 14.9 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 13.7 u1: L/min st: NotStopd t0: [20:00:00 09/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:00:00 09/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 25 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 19.5 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 09/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 96 u1: % st: NotStopd t0: [20:00:00 09/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 600 u1: ml/B st: NotStopd t0: [20:00:00 09/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 09/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 09/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [20:00:00 09/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 09/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 09/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [20:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 11413 id: Pain Assess Method el: 0 cu: CCU cg: -1 v1: Grimace Scale st: NotStopd t0: [20:00:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 11413 id: Ramsey SedationScale el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [20:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [20:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 09/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 09/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 09/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 09/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 09/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [20:00:00 09/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 09/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 09/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [20:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 09/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 09/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 09/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 09/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 09/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 09/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 09/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 09/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 09/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [20:00:00 09/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [20:00:00 09/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Ecchymotic v2: Hematoma st: NotStopd t0: [20:00:00 09/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 09/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 09/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 09/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [20:00:00 09/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [20:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [20:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [20:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 09/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [20:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 09/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [20:00:00 09/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [20:00:00 09/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [20:00:00 09/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 09/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 09/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: -1 v1: Duoderm st: NotStopd t0: [20:00:00 09/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [20:00:00 09/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [20:00:00 09/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 09/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Warm v2: Normal st: NotStopd t0: [20:00:00 09/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 09/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 09/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 09/07/2014] tf: [18:13:00 17/07/2014] dt: 11413 id: Sedation Score el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [20:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [20:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [20:00:00 09/07/2014] id: Sedation Score el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [20:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 09/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 09/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 09/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 09/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 09/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 09/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [20:00:00 09/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [20:00:00 09/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 09/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 09/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 09/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 09/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [20:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 09/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Very Poor st: NotStopd t0: [20:00:00 09/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 12 u1: number st: NotStopd t0: [20:00:00 09/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [21:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [21:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [21:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [21:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [20:00:00 09/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 80 vu: ml t0: [20:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [20:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 140 vu: ml t0: [20:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [20:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml t0: [21:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [21:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [21:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml t0: [21:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [21:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [20:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 09/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 220 ap: none
t0: [22:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [22:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [22:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [22:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [22:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [22:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [22:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [22:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:30:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22.3214 u1: ml/cmH st: NotStopd t0: [00:30:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:30:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [00:30:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [00:30:00 10/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.5 st: NotStopd t0: [00:30:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [00:30:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [00:30:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:30:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [00:30:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [00:30:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [00:30:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [00:30:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29.9 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 21.3 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [00:30:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:30:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [00:30:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [00:30:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:30:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [00:30:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Small st: NotStopd t0: [00:30:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 550 u1: ml/B st: NotStopd t0: [00:30:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:30:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [00:30:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [00:30:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [00:30:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 09/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 09/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [22:00:00 09/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [22:00:00 09/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [22:00:00 09/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 09/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [22:00:00 09/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [22:00:00 09/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [22:00:00 09/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [22:00:00 09/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [23:00:00 09/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 09/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 09/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 09/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [23:00:00 09/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 09/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 124 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 09/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [23:00:00 09/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 09/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [23:00:00 09/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 09/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: Pain Assess Method el: 0 cu: CCU cg: -1 v1: Grimace Scale st: NotStopd t0: [00:00:00 10/07/2014] id: Ramsey SedationScale el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [00:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 10/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 10/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [00:00:00 10/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [00:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [00:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 10/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [00:00:00 10/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Ecchymotic v2: Hematoma st: NotStopd t0: [00:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 10/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 10/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [00:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [00:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [00:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 10/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Warm v2: Normal st: NotStopd t0: [00:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 10/07/2014] id: Sedation Score el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [00:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 10/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 10/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 10/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [00:00:00 10/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [00:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 10/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [01:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [01:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [01:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [01:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [01:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [01:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 09/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml t0: [23:00:00 09/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [23:00:00 09/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [23:00:00 09/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [23:00:00 09/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [00:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [00:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [00:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 140 vu: ml t0: [00:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [00:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [23:00:00 09/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 09/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [02:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [02:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [02:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [02:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [02:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [02:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [02:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [03:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [03:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [03:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [00:00:00 10/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 120 vu: ml t0: [01:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [01:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [01:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [01:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [02:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [02:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [02:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 130 vu: ml t0: [02:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [02:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [02:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:50:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 22.8311 u1: ml/cmH st: NotStopd t0: [04:50:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:50:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:50:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:50:00 10/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.6 st: NotStopd t0: [04:50:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:50:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:50:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:50:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [04:50:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [04:50:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 13.4 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.8 u1: L/min st: NotStopd t0: [04:50:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [04:50:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 29.4 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [04:50:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [04:50:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [04:50:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:50:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [04:50:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [04:50:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [04:50:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [04:50:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [04:50:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [04:50:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 09/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Unable to Stage st: NotStopd t0: [20:00:00 09/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Rusty v2: Thick st: NotStopd t0: [00:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 10/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: No st: NotStopd t0: [00:00:00 10/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: No st: NotStopd t0: [00:00:00 10/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Unable to Stage v2: No st: NotStopd t0: [00:00:00 10/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 10/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 10/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: -1 v1: Duoderm st: NotStopd t0: [00:30:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Rusty v2: Thick st: NotStopd t0: [04:00:00 10/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/07/2014] id: Pain Assess Method el: 0 cu: CCU cg: -1 v1: Grimace Scale st: NotStopd t0: [04:00:00 10/07/2014] id: Ramsey SedationScale el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [04:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 10/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 10/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Not Done st: NotStopd t0: [04:00:00 10/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [04:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [04:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 10/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 10/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Ecchymotic v2: Hematoma st: NotStopd t0: [04:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 10/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [04:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 115 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [04:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 10/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: No st: NotStopd t0: [04:00:00 10/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: No st: NotStopd t0: [04:00:00 10/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Unable to Stage v2: No st: NotStopd t0: [04:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 10/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 10/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 10/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 10/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Warm v2: Normal st: NotStopd t0: [04:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 10/07/2014] id: Sedation Score el: 0 cu: CCU cg: -1 v1: Awake, Anxious st: NotStopd t0: [04:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 10/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Rusty v2: Thick st: NotStopd t0: [04:00:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 10/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 10/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.3333 u1: Deg. C st: NotStopd t0: [04:00:00 10/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.4 u1: Deg. F st: NotStopd t0: [04:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [04:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [05:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [05:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [05:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [05:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [05:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 09/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 5 vu: ml t0: [00:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 2 vu: ml t0: [03:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [03:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [03:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [03:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [04:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 5 vu: ml t0: [04:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [04:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [04:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [04:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml t0: [05:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [05:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [05:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [05:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [04:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [05:11:00 10/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [05:11:00 10/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [05:11:00 10/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [05:11:00 10/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [05:11:00 10/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 105 u1: mmHg rs: Final st: NotStopd t0: [05:11:00 10/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd
t0: [04:30:00 10/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.7 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.9 u1: % rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.9 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 198 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 8.7 rs: Final st: NotStopd
t0: [04:30:00 10/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 37 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 104 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 138 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 u1: mEq/L rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.2 rs: Final st: NotStopd t0: [04:30:00 10/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd
t0: [06:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [06:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 180 vu: ml t0: [06:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [06:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [06:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vu: ml t0: [06:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [06:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [06:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:20:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 25.641 u1: ml/cmH st: NotStopd t0: [08:20:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:20:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:20:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [08:20:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:20:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:20:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:20:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:20:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:20:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.5 u1: L/min st: NotStopd t0: [08:20:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [08:20:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 7 u1: BPM st: NotStopd t0: [08:20:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [08:20:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [08:20:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:20:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:20:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [08:20:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [08:20:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [08:20:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:20:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:20:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [08:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 139 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [08:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [08:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [08:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [08:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 1000 vu: ml t0: [08:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [08:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [08:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [08:00:00 10/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [08:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 10/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 10/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: -1 v1: Ecchymotic st: NotStopd t0: [08:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 10/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [08:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 10/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 10/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 10/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Unable to Stage st: NotStopd t0: [08:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [08:00:00 10/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 10/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [08:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [08:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 10/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: -1 v1: Warm v2: Normal st: NotStopd t0: [08:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [08:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [08:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 10/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 10/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 10/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.7222 u1: Deg. C st: NotStopd t0: [08:00:00 10/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.1 u1: Deg. F st: NotStopd t0: [08:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [08:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 10/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 10/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [08:00:00 10/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 10/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 180 vu: ml
t0: [09:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [09:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [09:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [09:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [09:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 285 vu: ml t0: [09:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [09:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [09:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [10:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [10:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 116 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [10:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [10:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [10:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [10:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [10:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [10:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [10:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [10:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [10:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 10/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Restless st: NotStopd
t0: [10:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [10:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [10:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 285 vu: ml t0: [10:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [10:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [10:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [11:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [11:00:00 10/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [11:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [11:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 180 vu: ml t0: [11:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [11:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [10:00:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [10:00:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [11:00:00 10/07/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: -1 v1: Negative v2: 5-7 st: NotStopd
t0: [10:00:00 10/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [10:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 10/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 10/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [10:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [10:00:00 10/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [11:30:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 21.2121 u1: ml/cmH st: NotStopd t0: [11:30:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:30:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [11:30:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [11:30:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:30:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [11:30:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:30:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [11:30:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [11:30:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.6 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [11:30:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [11:30:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 24 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16.5 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [11:30:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 5 u1: BPM st: NotStopd t0: [11:30:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 25 u1: BPM st: NotStopd t0: [11:30:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [11:30:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:30:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [11:30:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [11:30:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [11:30:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [11:30:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [11:30:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [11:30:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [11:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 116 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [11:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [11:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [12:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [12:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 10 vu: ml t0: [12:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 45 vu: ml t0: [12:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 90 vu: ml t0: [12:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 2 vu: ml t0: [12:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 5 vu: ml
t0: [11:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 10/07/2014] id: Fingerstick Glucose Chemistry el: 0 cu: CCU cg: -1 v1: 148 rs: Manual st: NotStopd
t0: [12:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 10/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [12:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 10/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [12:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [12:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 10/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 10/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 10/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Unable to Stage st: NotStopd t0: [12:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 10/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 10/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [12:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [12:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [12:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [12:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 10/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Side to Side st: NotStopd t0: [12:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 10/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [12:00:00 10/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 13 u1: number st: NotStopd t0: [12:00:00 10/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [12:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 10 vu: ml
t0: [16:35:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [16:50:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [16:55:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [17:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [20:00:00 08/07/2014] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 61.9 u1: kg st: NotStopd t0: [20:00:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [22:20:00 08/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [01:00:00 09/07/2014] id: Previous Weight el: 0 cu: CCU cg: 140 v1: 61.9 u1: kg st: NotStopd t0: [01:00:00 09/07/2014] id: Previous WeightF el: 0 cu: CCU cg: 140 u1: kg st: NotStopd t0: [12:00:00 10/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.1 u1: % rs: Final st: NotStopd
t0: [12:00:00 10/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd
t0: [12:00:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [12:00:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [13:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 64 u1: BPM st: NotStopd t0: [13:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [13:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [13:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [13:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [13:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [13:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [13:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [13:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:20:00 10/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [13:20:00 10/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 9 rs: Final st: NotStopd t0: [13:20:00 10/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [13:20:00 10/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 48 u1: mmHg rs: Final st: NotStopd t0: [13:20:00 10/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [13:20:00 10/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd
t0: [14:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 65 u1: BPM st: NotStopd t0: [14:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 10/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [14:00:00 10/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.0556 u1: Deg. C st: NotStopd t0: [14:00:00 10/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.7 u1: Deg. F st: NotStopd t0: [14:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [14:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml t0: [14:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [14:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [14:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 10/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd
t0: [14:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [14:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 10/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Sedated st: NotStopd
t0: [14:00:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml nb: 1
t0: [14:00:00 10/07/2014] id: ETT Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd
t0: [14:30:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 50 vu: ml nb: 1
t0: [15:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [15:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [15:00:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged v2: Thick st: NotStopd t0: [15:00:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:30:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:30:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:30:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [15:30:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:30:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [15:30:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:30:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [15:30:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 92 u1: % st: NotStopd t0: [15:30:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [15:30:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:28:00 10/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [15:28:00 10/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [15:28:00 10/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [15:28:00 10/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [15:28:00 10/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 56 u1: mmHg rs: Final st: NotStopd t0: [15:28:00 10/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd
t0: [16:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [16:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [16:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [16:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [16:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [16:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 90 u1: BPM st: NotStopd t0: [16:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 10/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 131 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [16:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [16:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 10/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 10/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [16:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 10/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 10/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [16:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [16:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [16:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [16:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 10/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [16:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Turns by self st: NotStopd t0: [16:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 10/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Anxious st: NotStopd t0: [16:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [16:00:00 10/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 16 u1: number st: NotStopd t0: [16:00:00 10/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [16:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 5 vu: ml t0: [16:00:00 10/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 50 vu: ml
t0: [16:30:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:30:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:30:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [16:30:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [16:30:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [16:30:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:30:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [16:30:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:30:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:25:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 26.3158 u1: ml/cmH st: NotStopd t0: [16:25:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:25:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:25:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:25:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:25:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:25:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:25:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [16:25:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [16:25:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.7 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.5 u1: L/min st: NotStopd t0: [16:25:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:25:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 20.8 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:25:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 2 u1: BPM st: NotStopd t0: [16:25:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [16:25:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:25:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:25:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd t0: [16:25:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [16:25:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [16:25:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:25:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [16:25:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:25:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [17:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [17:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [17:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [17:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [17:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 320 vu: ml t0: [17:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [17:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [17:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 10/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [18:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [18:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [18:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [18:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [18:00:00 10/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [18:00:00 10/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [18:00:00 10/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [18:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 10/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [18:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [18:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 340 vu: ml t0: [18:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [18:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [18:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [18:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 10/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 31.8182 u1: ml/cmH st: NotStopd t0: [20:00:00 10/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 10/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 10/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [20:00:00 10/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1.5 st: NotStopd t0: [20:00:00 10/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 10/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 10/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 10/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 10/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [20:00:00 10/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 9.4 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [20:00:00 10/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [20:00:00 10/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 18.6 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 10/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 9 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 10/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Blood Tinged v2: Thick st: NotStopd t0: [20:00:00 10/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [20:00:00 10/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [20:00:00 10/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [20:00:00 10/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [20:00:00 10/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [20:00:00 10/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 10/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [18:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [18:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [18:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [18:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [19:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [19:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [19:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [19:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [19:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bed as Chair st: NotStopd t0: [19:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [19:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [19:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [19:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [19:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [19:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [19:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [19:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [19:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [19:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [19:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [19:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [19:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [19:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [19:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [19:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [19:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [19:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [20:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 99 u1: mmHg st: NotStopd t0: [20:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 10/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [21:00:00 10/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 10/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [21:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 10/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 10/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [21:00:00 10/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [21:00:00 10/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [21:00:00 10/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [21:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [21:00:00 10/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 10/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [21:00:00 10/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 10/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 10/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 10/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [21:00:00 10/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 10/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [21:00:00 10/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 10/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 10/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [21:00:00 10/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [21:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [21:00:00 10/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [21:00:00 10/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 10/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [21:00:00 10/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [21:00:00 10/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [21:00:00 10/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [21:00:00 10/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 10/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Lifts/Falls Back st: NotStopd t0: [21:00:00 10/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [21:00:00 10/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 10/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [21:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [21:00:00 10/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [21:00:00 10/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 10/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 10/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [21:00:00 10/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 10/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 10/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [21:00:00 10/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 10/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [21:00:00 10/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 10/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 10/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [21:00:00 10/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [21:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 10/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [21:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [21:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 135 vu: ml t0: [21:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 110 vu: ml t0: [21:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 6 vu: ml t0: [21:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 15 vu: ml
t0: [19:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 10/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [20:00:00 10/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 40 vu: ml
t0: [23:00:00 10/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 450 ap: none
t0: [22:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [22:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [22:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 10/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 10/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [22:00:00 10/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [22:00:00 10/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [22:00:00 10/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 10/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 10/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 991 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2476 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 1035 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 3520 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -1044 ap: none t0: [23:00:00 10/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 3520 ap: none t0: [23:00:00 10/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 2860.15 ap: none
t0: [00:00:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 24.1379 u1: ml/cmH st: NotStopd t0: [00:00:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [00:00:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 2.1 st: NotStopd t0: [00:00:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [00:00:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.1 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.4 u1: L/min st: NotStopd t0: [00:00:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:00:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 22.1 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [00:00:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [00:00:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [00:00:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [00:00:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 10/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 10/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 10/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 10/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 10/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [23:00:00 10/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 10/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 136 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [23:00:00 10/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [23:00:00 10/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 10/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [23:00:00 10/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [23:00:00 10/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [00:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [00:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 11/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 11/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Stimul st: NotStopd t0: [00:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 11/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [00:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [00:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 138 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [00:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg st: NotStopd t0: [00:00:00 11/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 11/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 11/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 11/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [00:00:00 11/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 11/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 11/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [00:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [00:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [00:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [00:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [00:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [00:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [00:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.9444 u1: Deg. C st: NotStopd t0: [00:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.5 u1: Deg. F st: NotStopd t0: [00:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [00:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd
t0: [00:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [00:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [00:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml t0: [00:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [00:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [23:00:00 10/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [23:00:00 10/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 11/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 1018 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2248 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 1080 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 2290 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -1042 ap: none t0: [23:00:00 11/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 3290 ap: none t0: [23:00:00 11/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 1818.15 ap: none
t0: [01:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [01:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 142 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [01:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [01:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [01:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [02:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [02:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [02:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [02:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [02:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [02:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [02:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [02:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [02:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [01:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 11/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 200 vu: ml
t0: [04:56:00 11/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [04:56:00 11/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [04:56:00 11/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [04:56:00 11/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 11/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [04:56:00 11/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd
t0: [04:00:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 14.2276 u1: ml/cmH st: NotStopd t0: [04:00:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [04:00:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:1.5 st: NotStopd t0: [04:00:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [04:00:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [04:00:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [04:00:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.8 u1: L/min st: NotStopd t0: [04:00:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [04:00:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 32.1 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [04:00:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [04:00:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CMV st: NotStopd t0: [04:00:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [04:00:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [04:30:00 11/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.6 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33 u1: % rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.9 u1: gm/dl rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 247 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.74 u1: /mic l rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.6 rs: Final st: NotStopd
t0: [04:30:00 11/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 43 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 103 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 153 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [04:30:00 11/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd
t0: [00:00:00 11/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [02:00:00 11/07/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 v1: Orientation st: NotStopd t0: [02:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [02:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 11/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [02:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [02:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [02:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [02:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [02:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [02:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [03:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [03:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [03:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [03:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [04:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 10 u1: points st: NotStopd t0: [04:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 11/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 11/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [04:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Arouse to Voice st: NotStopd t0: [04:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 11/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Other/Remarks st: NotStopd t0: [04:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: -1 v1: R Femoral st: NotStopd t0: [04:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 98 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 11/07/2014] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [04:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [04:00:00 11/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Coccyx st: NotStopd t0: [04:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [04:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [04:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [04:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.8889 u1: Deg. C st: NotStopd t0: [04:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.4 u1: Deg. F st: NotStopd t0: [04:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [05:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [05:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 137 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [05:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [05:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 11/07/2014] id: Less Restrict Meas. el: 0 cu: CCU cg: -1 v1: Orientation st: NotStopd t0: [06:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [06:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: -1 v1: Circulation Adeq st: NotStopd t0: [06:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 11/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [06:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 134 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [06:00:00 11/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [06:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [06:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [06:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [06:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: Both Arms st: NotStopd t0: [06:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: -1 v1: Soft Limb st: NotStopd t0: [06:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: -1 v1: Behavior Conts st: NotStopd t0: [06:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [06:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [06:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [06:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [04:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [04:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml t0: [04:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [04:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml t0: [06:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [06:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 90 vu: ml t0: [06:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [06:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 4 vu: ml t0: [06:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 10 vu: ml
t0: [03:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [05:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 17.9487 u1: ml/cmH st: NotStopd t0: [08:00:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [08:00:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 0 u1: lpm st: NotStopd t0: [08:00:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:2.0 st: NotStopd t0: [08:00:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [08:00:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [08:00:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [08:00:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12.4 u1: L/min st: NotStopd t0: [08:00:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [08:00:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [08:00:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 27 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 33 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 97 u1: % st: NotStopd t0: [08:00:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [08:00:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [08:00:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CMV st: NotStopd t0: [08:00:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [08:00:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:31:00 11/07/2014] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.82242 u1: m2 t0: [08:31:00 11/07/2014] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [08:31:00 11/07/2014] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: ACUTE MYOCARDIAL INFARCTION t0: [08:31:00 11/07/2014] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [08:31:00 11/07/2014] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 69 u1: inches t0: [08:31:00 11/07/2014] id: Readmission el: 1014 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [08:31:00 11/07/2014] id: Religion el: 1000 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: Ext el: 1010 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: PIN el: 1012 cu: CCU cg: -1 t0: [08:31:00 11/07/2014] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [08:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 92 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 140 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [08:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [08:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [08:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [08:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [08:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [08:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [08:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 11/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [08:00:00 11/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 10 vu: ml t0: [08:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [08:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [08:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [08:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [08:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [09:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [09:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [09:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [09:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [10:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [10:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [10:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [10:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [10:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [10:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [13:40:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 13.8889 u1: ml/cmH st: NotStopd t0: [13:40:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:40:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [13:40:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 0 u1: lpm st: NotStopd t0: [13:40:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [13:40:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:4.8 st: NotStopd t0: [13:40:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [13:40:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [13:40:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33 u1: Deg. C st: NotStopd t0: [13:40:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [13:40:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [13:40:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11.5 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 8.1 u1: L/min st: NotStopd t0: [13:40:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.6 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [13:40:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [13:40:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 32.8 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 16 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [13:40:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [13:40:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [13:40:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:40:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:40:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [13:40:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 380 u1: ml/B st: NotStopd t0: [13:40:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [13:40:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [13:40:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [13:40:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [13:40:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [08:00:00 11/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [08:00:00 11/07/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [12:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [12:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [12:00:00 11/07/2014] id: Pain Location el: 0 cu: CCU cg: RN v1: Not Indicated st: NotStopd t0: [12:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [12:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [12:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.9444 u1: Deg. C st: NotStopd t0: [12:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.5 u1: Deg. F st: NotStopd t0: [12:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [14:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 124 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [14:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [14:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [14:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [12:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Plug st: NotStopd t0: [12:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [12:00:00 11/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: RN ai: 107 vo: 15 vu: ml t0: [12:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [12:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [12:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [12:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [08:00:00 11/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 11/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 11/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 11/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic st: NotStopd t0: [08:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 11/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 11/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 11/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/07/2014] id: RLE Temp/Color el: 0 cu: CCU cg: RN v1: Warm v2: Normal st: NotStopd t0: [08:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [08:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [08:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [08:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [08:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [10:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [10:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [12:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [12:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [12:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 11/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [12:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [12:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 11/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic st: NotStopd t0: [12:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [12:00:00 11/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [12:00:00 11/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 11/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [12:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [12:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [12:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [12:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [12:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [08:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:00:00 11/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [08:00:00 11/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Unable to Stage st: NotStopd t0: [08:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 11/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 11/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Duoderm st: NotStopd t0: [08:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [08:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 11/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 11/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [08:00:00 11/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [10:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [10:00:00 11/07/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [10:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [10:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [10:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [10:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [10:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [10:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [12:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [12:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [14:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [14:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [14:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: RestraintReapply st: NotStopd t0: [14:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd
t0: [08:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [08:00:00 11/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: Redness st: NotStopd t0: [08:00:00 11/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 11/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 11/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 11/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [12:00:00 11/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: Redness st: NotStopd t0: [12:00:00 11/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [12:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [12:00:00 11/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [14:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [14:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [14:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [14:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [14:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd
t0: [14:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [14:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 100 vu: ml t0: [14:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [14:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [12:00:00 11/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: RN v1: 138 rs: Manual st: NotStopd
t0: [14:39:00 11/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 99 u1: mmHg rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.45 rs: Final st: NotStopd t0: [14:39:00 11/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd
t0: [14:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [14:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [16:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 11/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [16:00:00 11/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [16:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [16:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 11/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [16:00:00 11/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: Redness st: NotStopd t0: [16:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [16:00:00 11/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [16:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 11/07/2014] id: Angio Appearance #1 el: 0 cu: CCU cg: RN v1: Ecchymotic st: NotStopd t0: [16:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [16:00:00 11/07/2014] id: Angio Dressing #1 el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [16:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 132 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [16:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/07/2014] id: PostTib. Pulses R/L el: 0 cu: CCU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 11/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [16:00:00 11/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [16:00:00 11/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [16:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [16:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [16:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [16:00:00 11/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 11/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [16:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [16:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [16:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [16:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [16:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 11/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [16:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [16:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [16:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [16:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [16:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [16:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [16:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [16:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [16:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [16:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [16:00:00 11/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 250 vu: ml t0: [16:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [16:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [16:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [16:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [16:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [16:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [16:36:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 13.1086 u1: ml/cmH st: NotStopd t0: [16:36:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:36:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:36:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT v1: 0 u1: lpm st: NotStopd t0: [16:36:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:36:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:3.0 st: NotStopd t0: [16:36:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:36:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [16:36:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 33.6 u1: Deg. C st: NotStopd t0: [16:36:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [16:36:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 3 st: NotStopd t0: [16:36:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.9 u1: L/min st: NotStopd t0: [16:36:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.7 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [16:36:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [16:36:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 34.4 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 23.4 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [16:36:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 8 u1: BPM st: NotStopd t0: [16:36:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 28 u1: BPM st: NotStopd t0: [16:36:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [16:36:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:36:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 100 u1: % st: NotStopd t0: [16:36:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 390 u1: ml/B st: NotStopd t0: [16:36:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [16:36:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [16:36:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [16:36:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [16:36:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [16:30:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [16:30:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [16:30:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [16:30:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:30:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd
t0: [16:30:00 11/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 50 vu: ml t0: [16:30:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml
t0: [17:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [17:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 11/07/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Visited st: NotStopd t0: [17:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [17:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 151 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [17:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [17:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [17:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [17:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [17:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [17:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [17:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [17:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [17:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [17:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [17:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [17:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [17:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [17:00:00 11/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 100 vu: ml t0: [17:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [17:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml t0: [17:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [17:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [17:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [17:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 150 ap: none
t0: [17:30:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [17:30:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 97 u1: BPM st: NotStopd t0: [18:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 146 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 106 u1: mmHg st: NotStopd t0: [18:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 38 u1: BPM st: NotStopd t0: [18:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [18:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [18:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [18:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [18:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [18:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [18:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [18:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip
t0: [18:00:00 11/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 220 vu: ml
t0: [19:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 94 u1: BPM st: NotStopd t0: [19:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 129 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [19:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 33 u1: BPM st: NotStopd t0: [19:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [19:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [19:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [19:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [19:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [19:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [19:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [19:30:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [19:30:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [18:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [18:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [18:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 1 Person Assist st: NotStopd t0: [18:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [18:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [18:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [18:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [18:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [18:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [20:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 11/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 11/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 11/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [20:00:00 11/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [20:00:00 11/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 11/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 11/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [20:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [20:00:00 11/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 11/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 11/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 11/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [20:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 11/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 11/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 11/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Moves on Bed st: NotStopd t0: [20:00:00 11/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [20:00:00 11/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Nail Bed v2: Withdraws st: NotStopd t0: [20:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 11/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Nonpurposeful st: NotStopd t0: [20:00:00 11/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [20:00:00 11/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [20:00:00 11/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [20:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 11/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 11/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 11/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 11/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd
t0: [15:00:00 11/07/2014] tf: [21:00:00 15/07/2014] dt: 6120 id: Stool Out Stool el: 1 cu: CCU cg: RN vo: 700 vu: ml t0: [20:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [20:00:00 11/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [20:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml t0: [20:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [20:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml
t0: [20:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [20:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 11/07/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 1000 ap: none
t0: [20:00:00 11/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 16.4319 u1: ml/cmH st: NotStopd t0: [20:00:00 11/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 11/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 11/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [20:00:00 11/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.1 st: NotStopd t0: [20:00:00 11/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [20:00:00 11/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 11/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 11/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [20:00:00 11/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [20:00:00 11/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.8 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 10.1 u1: L/min st: NotStopd t0: [20:00:00 11/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [20:00:00 11/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 28.9 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 11/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 11/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 11/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [20:00:00 11/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [20:00:00 11/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 11/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [20:00:00 11/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 11/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [21:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [21:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [21:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [21:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [21:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [21:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [21:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [21:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [21:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [21:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [21:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 11/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 11/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [22:00:00 11/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 11/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 11/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [22:00:00 11/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [22:00:00 11/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 11/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 11/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Good st: NotStopd t0: [22:00:00 11/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 11/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [22:00:00 11/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 11/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 11/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [22:00:00 11/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [22:00:00 11/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [22:00:00 11/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 11/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [22:00:00 11/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [22:00:00 11/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 11/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 11/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [22:00:00 11/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 11/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [22:00:00 11/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 11/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [22:00:00 11/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [22:00:00 11/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [22:00:00 11/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 11/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 11/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [22:00:00 11/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [22:00:00 11/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [22:00:00 11/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [22:00:00 11/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [22:00:00 11/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [22:00:00 11/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 1872.15 ap: none
t0: [00:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 20.8333 u1: ml/cmH st: NotStopd t0: [00:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Sinus Tachy st: NotStopd t0: [00:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 1:2.7 st: NotStopd t0: [00:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 3 st: NotStopd t0: [00:00:00 12/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.3 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 10.6 u1: L/min st: NotStopd t0: [00:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 156 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [00:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 24.4 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 390 u1: ml/B st: NotStopd t0: [00:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [00:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [00:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd t0: [00:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [00:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [01:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [01:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [01:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Tachy st: NotStopd t0: [01:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 136 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [01:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [01:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [02:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [02:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [02:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [01:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [02:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [00:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [00:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [00:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 10 vu: ml t0: [02:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [02:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [02:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [02:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 20 vu: ml
t0: [00:00:00 12/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RN v1: 0 u1: lpm st: NotStopd t0: [00:00:00 12/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RN v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [03:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [03:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [03:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [03:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [03:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [03:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RN v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: RN v1: 7.5 mm st: NotStopd t0: [04:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: RN v1: 7 v2: 17 st: NotStopd t0: [04:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 97 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [04:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [04:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: RN v1: 75 u1: L/m st: NotStopd t0: [04:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RN v1: 29.5 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RN v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [04:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [04:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 12/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [04:00:00 12/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [04:00:00 12/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [04:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RN v1: 350 u1: ml/B st: NotStopd t0: [04:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RN v1: 24 u1: # st: NotStopd t0: [04:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RN v1: 7200A st: NotStopd t0: [04:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RN v1: RAMP st: NotStopd t0: [04:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [03:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [04:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [04:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [04:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [04:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 30 vu: ml
t0: [00:00:00 12/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [00:00:00 12/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 12/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [00:00:00 12/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 12/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [00:00:00 12/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [00:00:00 12/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 12/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 12/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 12/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 12/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [00:00:00 12/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 12/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [00:00:00 12/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 12/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [00:00:00 12/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 120 vu: ml
t0: [04:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 15.9091 u1: ml/cmH st: NotStopd t0: [04:00:00 12/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: RRT u1: lpm st: NotStopd t0: [04:00:00 12/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: RRT u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: I:E Ratio el: 0 cu: CCU cg: RRT v1: 1:4.6 st: NotStopd t0: [04:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 5 st: NotStopd t0: [04:00:00 12/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 11 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7 u1: L/min st: NotStopd t0: [04:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 12/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 22 u1: cmH2O st: NotStopd t0: [04:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [04:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 360 u1: ml/B st: NotStopd t0: [04:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd
t0: [06:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 94 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [06:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [06:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [06:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [06:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 30 vu: ml
t0: [06:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [06:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 12/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [06:00:00 12/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 12/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 9 u1: points st: NotStopd t0: [06:00:00 12/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 12/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 12/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 12/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 12/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 12/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [06:00:00 12/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 12/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:00:00 12/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 12/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [06:00:00 12/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:00:00 12/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 12/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [07:11:00 12/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [07:11:00 12/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [07:11:00 12/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [07:11:00 12/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [07:11:00 12/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 108 u1: mmHg rs: Final st: NotStopd t0: [07:11:00 12/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd
t0: [07:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 18.4211 u1: ml/cmH st: NotStopd t0: [07:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [07:00:00 12/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 4.6 st: NotStopd t0: [07:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.6 u1: Deg. C st: NotStopd t0: [07:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [07:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [07:00:00 12/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.7 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 7.2 u1: L/min st: NotStopd t0: [07:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [07:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 26.5 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [07:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [07:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [07:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 380 u1: ml/B st: NotStopd t0: [07:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [07:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [07:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [07:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [07:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 11/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [23:00:00 11/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [23:00:00 11/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [23:00:00 11/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [08:00:00 12/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 12/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [08:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 12/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 12/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [08:00:00 12/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [08:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [08:00:00 12/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 12/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 12/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [08:00:00 12/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 12/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [08:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 105 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 12/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 12/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 12/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [08:00:00 12/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Coccyx st: NotStopd t0: [08:00:00 12/07/2014] id: Reason For Restraint el: 0 cu: CCU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 12/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 12/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [08:00:00 12/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [08:00:00 12/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [08:00:00 12/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 12/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [08:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [08:00:00 12/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 12/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 12/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 12/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 12/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd
t0: [08:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [08:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [08:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 90 vu: ml t0: [08:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [08:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 30 vu: ml
t0: [08:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 100 su: ml rt: IV Drip t0: [08:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 12/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 12/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 12/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [06:30:00 12/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.2 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 29.4 u1: % rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 249 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.29 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 10.2 rs: Final st: NotStopd
t0: [06:30:00 12/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 47 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.7 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 155 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.9 rs: Final st: NotStopd t0: [06:30:00 12/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd
t0: [10:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 12/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [10:00:00 12/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [10:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [10:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 12/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [10:00:00 12/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 12/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [10:00:00 12/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 5 Localizes Pain st: NotStopd t0: [10:00:00 12/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [10:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 12/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Crackles st: NotStopd t0: [10:00:00 12/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [10:00:00 12/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [10:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 12/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [10:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [10:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [10:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 4 vu: ml t0: [10:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 30 vu: ml
t0: [10:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: mghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 12/07/2014] id: Eye Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [10:00:00 12/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 12/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 12/07/2014] id: Oral Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 12/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 12/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [10:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [10:00:00 12/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Right Side st: NotStopd t0: [10:00:00 12/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd
t0: [10:30:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:30:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:30:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:30:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [10:30:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:30:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 87 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [10:30:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [10:30:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:30:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [10:30:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [10:30:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [10:30:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [12:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [12:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [12:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [12:00:00 12/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: RN vu: ml t0: [12:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2.5 vu: ml t0: [12:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 12.5 vu: ml
t0: [12:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [12:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 12/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [12:00:00 12/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml
t0: [12:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 24.3056 u1: ml/cmH st: NotStopd t0: [12:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [12:00:00 12/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [12:00:00 12/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [12:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33 u1: Deg. C st: NotStopd t0: [12:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [12:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [12:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.1 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 9.2 u1: L/min st: NotStopd t0: [12:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [12:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 21.9 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 12/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 0 u1: . st: NotStopd t0: [12:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [12:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 280 u1: ml/B st: NotStopd t0: [12:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 350 u1: ml/B st: NotStopd t0: [12:00:00 12/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: ml/B st: NotStopd t0: [12:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [12:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [12:30:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd
t0: [12:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [12:30:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 340 vu: ml
t0: [13:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [13:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [13:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 130 vu: ml t0: [13:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml t0: [13:00:00 12/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 5 vu: ml
t0: [13:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml
t0: [13:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 du: mcghr sv: 100 su: ml rt: IV Drip st: Stopped t0: [13:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [13:43:00 12/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.54 rs: Final st: NotStopd t0: [13:43:00 12/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [13:43:00 12/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [13:43:00 12/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 12/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [13:43:00 12/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.54 rs: Final st: NotStopd
t0: [08:00:00 12/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [08:00:00 12/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 12/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 12/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [14:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [14:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 12/07/2014] tf: [18:13:00 17/07/2014] dt: 7453 id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Loose st: NotStopd t0: [14:00:00 12/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [14:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [14:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [14:00:00 12/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [14:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 210 vu: ml t0: [14:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml
t0: [14:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/07/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 60 ap: none
t0: [16:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 21.2766 u1: ml/cmH st: NotStopd t0: [16:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 12/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [16:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 50 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 3.8 st: NotStopd t0: [16:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [16:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.7 u1: Deg. C st: NotStopd t0: [16:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [16:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 5 st: NotStopd t0: [16:00:00 12/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11.7 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 8.2 u1: L/min st: NotStopd t0: [16:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 45 st: NotStopd t0: [16:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [16:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 18 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 520 u1: ml/B st: NotStopd t0: [16:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [16:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [16:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [15:00:00 12/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 12/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 12/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 12/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 12/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 12/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [15:00:00 12/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [16:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 81 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 122 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [16:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [16:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 12/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [16:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [16:00:00 12/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: RN ai: 208 vo: 60 vu: ml t0: [16:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [16:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 230 vu: ml t0: [16:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [16:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [11:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 90 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [11:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [11:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 12/07/2014] id: Fentanyl el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 100 su: ml rt: IV Drip t0: [11:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [18:33:00 12/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.51 rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 11 rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 101 u1: mmHg rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.51 rs: Final st: NotStopd t0: [18:33:00 12/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd
t0: [15:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [15:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [15:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [17:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [17:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [17:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [17:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 20 u1: BPM st: NotStopd t0: [18:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [19:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [19:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [19:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [19:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [18:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [18:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [19:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [19:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [19:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml t0: [19:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml
t0: [15:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 12/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: RRT v1: 19.6078 u1: ml/cmH st: NotStopd t0: [20:00:00 12/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 12/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [20:00:00 12/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [20:00:00 12/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 12/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 12/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [20:00:00 12/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [20:00:00 12/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 10.5 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 7.1 u1: L/min st: NotStopd t0: [20:00:00 12/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [20:00:00 12/07/2014] id: Peak Flow el: 0 cu: CCU cg: RRT v1: 75 u1: L/m st: NotStopd t0: [20:00:00 12/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: RRT v1: 18 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: Plateau-Off el: 0 cu: CCU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 12/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 13 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: RRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 98 u1: % st: NotStopd t0: [20:00:00 12/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [20:00:00 12/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 12/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: Assist Control st: NotStopd t0: [20:00:00 12/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [20:00:00 12/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 12/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: RRT v1: RAMP st: NotStopd
t0: [20:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Frothy st: NotStopd t0: [20:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd
t0: [20:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 134 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [20:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [20:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [20:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [20:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [20:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml
t0: [20:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 12/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 12/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [20:00:00 12/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [20:00:00 12/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 12/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [20:00:00 12/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 12/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 12/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 12/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [20:00:00 12/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 12/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 12/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 12/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 12/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [22:15:00 12/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.9156 u1: ml/dl st: NotStopd t0: [22:15:00 12/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 142 u1: mmHg rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [22:15:00 12/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [00:00:00 13/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 v1: 19.5313 u1: ml/cmH st: NotStopd t0: [00:00:00 13/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 13/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 13/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 v1: 0 u1: lpm st: NotStopd t0: [00:00:00 13/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 v1: 5.4 st: NotStopd t0: [00:00:00 13/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [00:00:00 13/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 13/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.7 u1: Deg. C st: NotStopd t0: [00:00:00 13/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [00:00:00 13/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [00:00:00 13/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 10.4 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 6.6 u1: L/min st: NotStopd t0: [00:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.3 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [00:00:00 13/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [00:00:00 13/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 v1: 32.9 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 v1: 17.9 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 13/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 v1: 1 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [00:00:00 13/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 v1: 530 u1: ml/B st: NotStopd t0: [00:00:00 13/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [00:00:00 13/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 13/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [00:00:00 13/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 13/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 13/07/2014] id: Compliance (40-60ml) el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Flow-By (lpm) el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Flow-by Sensitivity el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: I:E Ratio el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Peak Flow el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Peak Insp. Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Plateau Pressure el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Plateau-Off el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Resp Rate (Spont) el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Respiratory Rate Set el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Tidal Volume (Obser) el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Tidal Volume (Set) el: 0 cu: CCU cg: -1 st: D/C'd t0: [01:00:00 13/07/2014] id: Waveform-Vent el: 0 cu: CCU cg: -1 st: D/C'd
t0: [01:00:00 13/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.7 u1: cmH2O st: NotStopd t0: [01:00:00 13/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 10.2 u1: L/min st: NotStopd t0: [01:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [01:00:00 13/07/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 13 u1: . st: NotStopd t0: [01:00:00 13/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [01:00:00 13/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 480 u1: ml/B st: NotStopd t0: [01:00:00 13/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd
t0: [22:00:00 12/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 12/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 12/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 12/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [22:00:00 12/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 12/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 12/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [22:00:00 12/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 12/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 12/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 12/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [22:00:00 12/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [22:00:00 12/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [22:00:00 12/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [00:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [00:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [00:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 96 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [00:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [00:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 12/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 12/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [23:00:00 12/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [22:00:00 12/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [22:00:00 12/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [22:00:00 12/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [22:00:00 12/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [00:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [00:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [00:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 40 vu: ml t0: [00:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [23:00:00 12/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 644 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 2024 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 1080 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 1910 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: 54 ap: none t0: [23:00:00 12/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 1970 ap: none
t0: [02:05:00 13/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 12.8536 u1: ml/dl st: NotStopd t0: [02:05:00 13/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 122 u1: mmHg rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.7 rs: Final st: NotStopd t0: [02:05:00 13/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 98 u1: % rs: Final st: NotStopd
t0: [02:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [02:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [02:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [02:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [02:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [02:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 13/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [02:00:00 13/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [02:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [02:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [02:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 13/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 13/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 13/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 13/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [04:00:00 13/07/2014] id: Airway Size el: 0 cu: CCU cg: RRT v1: 7.5 mm st: NotStopd t0: [04:00:00 13/07/2014] id: Airway Type el: 0 cu: CCU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 13/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 13/07/2014] id: Intubation Date el: 0 cu: CCU cg: RRT v1: 7 v2: 17 st: NotStopd t0: [04:00:00 13/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: RRT v1: 4 st: NotStopd t0: [04:00:00 13/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 13/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: RRT v1: 12.1 u1: cmH2O st: NotStopd t0: [04:00:00 13/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: RRT v1: 12.7 u1: L/min st: NotStopd t0: [04:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: RRT v1: 7.5 u1: cmH2O st: NotStopd t0: [04:00:00 13/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: RRT v1: 20 st: NotStopd t0: [04:00:00 13/07/2014] id: Pressure Support el: 0 cu: CCU cg: RRT v1: 13 u1: . st: NotStopd t0: [04:00:00 13/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [04:00:00 13/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 99 u1: % st: NotStopd t0: [04:00:00 13/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RRT v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 13/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RRT v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 13/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: RRT v1: 460 u1: ml/B st: NotStopd t0: [04:00:00 13/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: RRT v1: CPAP+PS st: NotStopd t0: [04:00:00 13/07/2014] id: Ventilator No. el: 0 cu: CCU cg: RRT v1: 24 u1: # st: NotStopd t0: [04:00:00 13/07/2014] id: Ventilator Type el: 0 cu: CCU cg: RRT v1: 7200A st: NotStopd
t0: [04:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [04:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [04:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [04:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 13/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [01:00:00 13/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [01:00:00 13/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [01:00:00 13/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [01:00:00 13/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [01:00:00 13/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 13/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 13/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [01:00:00 13/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [01:00:00 13/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [01:00:00 13/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [01:00:00 13/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [01:00:00 13/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [01:00:00 13/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [01:00:00 13/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [01:00:00 13/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [04:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [04:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [04:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 400 vu: ml t0: [04:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [06:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [06:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [06:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [06:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 13/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [06:00:00 13/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [06:00:00 13/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [06:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 90 vu: ml t0: [06:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [06:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [06:00:00 13/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [06:00:00 13/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 3 To speech st: NotStopd t0: [06:00:00 13/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 10 u1: points st: NotStopd t0: [06:00:00 13/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 13/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [06:00:00 13/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 13/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Arouse to Voice st: NotStopd t0: [06:00:00 13/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 13/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [06:00:00 13/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [06:00:00 13/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 13/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [06:00:00 13/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [06:00:00 13/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 13/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [06:34:00 13/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 7 rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 33 rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 85 u1: mmHg rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.48 rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [06:30:00 13/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.3 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.8 u1: % rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10 u1: gm/dl rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 302 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.5 u1: /mic l rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 11.3 rs: Final st: NotStopd t0: [06:34:00 13/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.1275 u1: ml/dl st: NotStopd
t0: [06:30:00 13/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 45 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 32 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 105 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 126 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.2 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 144 rs: Final st: NotStopd
t0: [18:00:00 12/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 12/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [18:00:00 12/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 12/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [07:00:00 13/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 13/07/2014] id: Range of Motion el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [07:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 13/07/2014] id: Circulation/SkinInt el: 0 cu: CCU cg: RN v1: Circulation Adeq st: NotStopd t0: [07:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [07:00:00 13/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [07:00:00 13/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 11 u1: points st: NotStopd t0: [07:00:00 13/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [07:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 73 u1: BPM st: NotStopd t0: [07:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 13/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [07:00:00 13/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [07:00:00 13/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [07:00:00 13/07/2014] id: Angio Site #1 el: 0 cu: CCU cg: RN v1: R Femoral st: NotStopd t0: [07:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 125 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [07:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 13/07/2014] id: Position Change el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [07:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 13/07/2014] id: Removed x 5 Mins el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [07:00:00 13/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [07:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 13/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: Both Arms st: NotStopd t0: [07:00:00 13/07/2014] id: Restraint Type el: 0 cu: CCU cg: RN v1: Soft Limb st: NotStopd t0: [07:00:00 13/07/2014] id: Restraints Evaluated el: 0 cu: CCU cg: RN v1: Behavior Conts st: NotStopd t0: [07:00:00 13/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [07:00:00 13/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [07:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 13/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [07:00:00 13/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [07:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [07:00:00 13/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Adequate st: NotStopd t0: [07:00:00 13/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [07:00:00 13/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [07:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [07:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml t0: [07:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml t0: [07:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml
t0: [07:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 13/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [02:00:00 13/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [02:00:00 13/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [02:00:00 13/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [07:00:00 13/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd
t0: [07:00:00 13/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Thick st: NotStopd t0: [07:00:00 13/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [07:00:00 13/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:00:00 13/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [07:00:00 13/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:00:00 13/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:00:00 13/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [07:00:00 13/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [07:00:00 13/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [07:00:00 13/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [07:00:00 13/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [07:00:00 13/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [07:00:00 13/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11.5 u1: cmH2O st: NotStopd t0: [07:00:00 13/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [07:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [07:00:00 13/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [07:00:00 13/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [07:00:00 13/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [07:00:00 13/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:00:00 13/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [07:00:00 13/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:00:00 13/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [07:00:00 13/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [09:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [09:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 128 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [09:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [09:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [09:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 137 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [10:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [10:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 31 u1: BPM st: NotStopd t0: [10:00:00 13/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 13/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [10:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [06:30:00 13/07/2014] id: Differential-Bands Hematology el: 0 cu: CCU cg: 140 v1: 0 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Differential-Basos Hematology el: 0 cu: CCU cg: 140 v1: 0.2 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Differential-Eos Hematology el: 0 cu: CCU cg: 140 v1: 0.5 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Differential-Lymphs Hematology el: 0 cu: CCU cg: 140 v1: 7.2 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Differential-Monos Hematology el: 0 cu: CCU cg: 140 v1: 4.6 rs: Final st: NotStopd t0: [06:30:00 13/07/2014] id: Differential-Polys Hematology el: 0 cu: CCU cg: 140 v1: 87.6 rs: Final st: NotStopd
t0: [09:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [09:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 50 vu: ml t0: [09:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml t0: [10:30:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [11:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 83 u1: BPM st: NotStopd t0: [11:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [11:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [11:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [11:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 200 vu: ml t0: [11:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [11:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 13/07/2014] id: ETT Mark/Location el: 0 cu: CCU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 13/07/2014] id: FiO2 Set el: 0 cu: CCU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [11:00:00 13/07/2014] id: High Insp. Pressure el: 0 cu: CCU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 13/07/2014] id: High Resp. Rate el: 0 cu: CCU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:00:00 13/07/2014] id: Airway Size el: 0 cu: CCU cg: -1 v1: 7.5 mm st: NotStopd t0: [11:00:00 13/07/2014] id: Airway Type el: 0 cu: CCU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 13/07/2014] id: Inspired Gas Temp el: 0 cu: CCU cg: -1 v1: 33.8 u1: Deg. C st: NotStopd t0: [11:00:00 13/07/2014] id: Intubation Date el: 0 cu: CCU cg: -1 v1: 7 v2: 17 st: NotStopd t0: [11:00:00 13/07/2014] id: Low Exhaled Min Vol el: 0 cu: CCU cg: -1 v1: 4 st: NotStopd t0: [11:00:00 13/07/2014] id: Low Insp. Pressure el: 0 cu: CCU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 13/07/2014] id: Mean Airway Pressure el: 0 cu: CCU cg: -1 v1: 11.1 u1: cmH2O st: NotStopd t0: [11:00:00 13/07/2014] id: Minute Volume(Obser) el: 0 cu: CCU cg: -1 v1: 10.3 u1: L/min st: NotStopd t0: [11:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [11:00:00 13/07/2014] id: Apnea Time Interval el: 0 cu: CCU cg: -1 v1: 20 st: NotStopd t0: [11:00:00 13/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 10 u1: . st: NotStopd t0: [11:00:00 13/07/2014] id: Resp Rate (Total) el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 13/07/2014] id: Sensitivity-Vent el: 0 cu: CCU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 13/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [11:00:00 13/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 13/07/2014] id: Tidal Volume (Spont) el: 0 cu: CCU cg: -1 v1: 420 u1: ml/B st: NotStopd t0: [11:00:00 13/07/2014] id: Ventilator Mode el: 0 cu: CCU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:00:00 13/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 24 u1: # st: NotStopd t0: [11:00:00 13/07/2014] id: Ventilator Type el: 0 cu: CCU cg: -1 v1: 7200A st: NotStopd
t0: [11:30:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:30:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:30:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 70 u1: BPM st: NotStopd t0: [11:30:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:30:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 83 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:30:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [11:30:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:30:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:30:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [12:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [12:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [12:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 13/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 13/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [12:00:00 13/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [08:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vo: 45 vu: ml st: Stopped t0: [09:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vu: ml t0: [11:00:00 13/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: RN ai: 498 vu: ml t0: [12:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 10 vu: ml t0: [12:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 340 vu: ml t0: [12:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 1 vu: ml
t0: [11:30:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 13/07/2014] dt: 24 id: Tube Feeds In Total el: 1 cu: CCU cg: RN cv: 450 ap: none
t0: [12:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [12:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [12:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:59:00 13/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.5 rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.3297 u1: ml/dl st: NotStopd t0: [11:59:00 13/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.5 rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3 rs: Final st: NotStopd t0: [11:59:00 13/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [12:00:00 13/07/2014] id: PEEP Set el: 0 cu: CCU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 13/07/2014] id: Pressure Support el: 0 cu: CCU cg: -1 v1: 5 u1: . st: NotStopd
t0: [13:10:00 13/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.5 rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.3421 u1: ml/dl st: NotStopd t0: [13:10:00 13/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 10 rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 36 rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 111 u1: mmHg rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.5 rs: Final st: NotStopd t0: [13:10:00 13/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 97 u1: % rs: Final st: NotStopd
t0: [14:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [14:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 160 vu: ml t0: [14:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: RN ai: 153 vo: 2 vu: ml
t0: [13:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [13:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [13:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 121 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [13:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [13:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 13/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [14:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 13/07/2014] tf: [18:13:00 17/07/2014] dt: 6013 id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Aerosol-Cool st: NotStopd t0: [14:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 130 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [14:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [14:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [14:00:00 13/07/2014] id: Significant Events el: 0 cu: CCU cg: RN v1: Extubated st: NotStopd t0: [14:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 36 u1: BPM st: NotStopd t0: [15:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 v1: 1 du: mghr sv: 50 su: ml rt: IV Drip
t0: [15:57:00 13/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.1399 u1: ml/dl st: NotStopd t0: [15:57:00 13/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 8 rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 34 rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 89 u1: mmHg rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.46 rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.5 rs: Final st: NotStopd t0: [15:57:00 13/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 96 u1: % rs: Final st: NotStopd
t0: [16:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 119 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [16:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [16:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [16:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 109 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [17:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [17:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:00:00 13/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [17:00:00 13/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [17:00:00 13/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [17:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 13/07/2014] id: .9% Normal Saline 50.0ml + 50mghr Midazolam IV Infusions el: 2 cu: CCU cg: -1 ai: 153 vo: 0 st: D/C'd
t0: [18:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [18:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [18:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [18:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [18:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [19:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [19:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [19:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [19:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 99 u1: % st: NotStopd t0: [19:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 13/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 200 vu: ml t0: [17:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [18:00:00 13/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml
t0: [15:00:00 13/07/2014] tf: [18:13:00 17/07/2014] dt: 5953 id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip st: Stopped t0: [15:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 13/07/2014] id: Midazolam el: 1 cu: CCU cg: RN so: .9% Normal Saline vo: 0 du: mghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 13/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 13/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 13/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 13/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [20:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 13/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 13/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [20:00:00 13/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 13/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [20:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 114 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [20:00:00 13/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 13/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [20:00:00 13/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [20:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [20:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [20:00:00 13/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 13/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 13/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 13/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [22:00:00 13/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Sinus Brady st: NotStopd t0: [22:00:00 13/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 13/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 13/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [22:00:00 13/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 13/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [22:00:00 13/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [22:00:00 13/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [22:00:00 13/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 13/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 30 vu: ml t0: [22:00:00 13/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml
t0: [23:00:00 13/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 13/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 13/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN cv: 756 ap: none t0: [23:00:00 13/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN cv: 1206 ap: none t0: [23:00:00 13/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 2330 ap: none t0: [23:00:00 13/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN cv: -1124 ap: none t0: [23:00:00 13/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 2330 ap: none t0: [23:00:00 13/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN cv: 748.151 ap: none
t0: [20:00:00 13/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 13/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 13/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 13/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 13/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: RN v1: Yes st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 22 st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [21:00:00 13/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [21:00:00 13/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: RN v1: Sharp st: NotStopd
t0: [01:14:00 14/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 6 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 31 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.49 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: SaO2 ABG's el: 0 cu: CCU cg: 140 v1: 95 u1: % rs: Final st: NotStopd
t0: [01:00:00 14/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.5 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.6 u1: % rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 375 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.58 u1: /mic l rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 15.5 rs: Final st: NotStopd t0: [01:14:00 14/07/2014] id: CaO2 el: 0 cu: CCU cg: 140 v1: 13.717 u1: ml/dl st: NotStopd
t0: [01:00:00 14/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 43 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 108 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 119 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [01:00:00 14/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd
t0: [02:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [02:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [02:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [02:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [02:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [02:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [02:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [04:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [04:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [04:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [04:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [04:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [06:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [06:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: RN v1: 91 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [06:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: RN v1: 56 u1: mmHg st: NotStopd t0: [06:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [06:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [06:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 14/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.1111 u1: Deg. C st: NotStopd t0: [06:00:00 14/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97 u1: Deg. F st: NotStopd t0: [06:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [02:00:00 14/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [04:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 80 vu: ml t0: [06:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 20 vu: ml t0: [06:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [04:00:00 14/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 14/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 15 u1: points st: NotStopd t0: [04:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [04:00:00 14/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 14/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 2 st: NotStopd t0: [04:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [04:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [04:00:00 14/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 5 Oriented st: NotStopd
t0: [08:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [08:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 109 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [08:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [08:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [08:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 40 vu: ml
id: Po Intake el: 2 cu: CCU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
t0: [08:00:00 14/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 14/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [08:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 14/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 14/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [08:00:00 14/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 14/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 14/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 14/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 14/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 14/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 14/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [08:00:00 14/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [08:00:00 14/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#1 Zero/Cal el: 0 cu: CCU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#1SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 14/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [09:00:00 14/07/2014] id: INV#1 WaveformAppear el: 0 cu: CCU cg: -1 v1: Sharp st: NotStopd t0: [10:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [10:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [10:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [10:00:00 14/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [10:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 14/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [10:00:00 14/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 35.9444 u1: Deg. C st: NotStopd t0: [10:00:00 14/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.7 u1: Deg. F st: NotStopd t0: [10:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [10:00:00 14/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [10:00:00 14/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [09:00:00 14/07/2014] tf: [18:13:00 17/07/2014] dt: 4873 id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 240 vu: ml t0: [10:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [10:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [12:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [12:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [12:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [12:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 92 u1: % st: NotStopd t0: [12:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [12:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [08:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [14:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 114 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [14:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [14:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 14/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [13:00:00 14/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 240 vu: ml t0: [14:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [14:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml
t0: [15:00:00 14/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 120 vu: ml
t0: [16:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [16:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 14/07/2014] id: Arterial BP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 14/07/2014] id: Arterial BP Mean el: 0 cu: CCU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [16:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 14/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 300 vu: ml t0: [16:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [16:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml
t0: [14:00:00 14/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [14:00:00 14/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.1111 u1: Deg. C st: NotStopd t0: [14:00:00 14/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97 u1: Deg. F st: NotStopd
t0: [18:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [18:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [18:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 14/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 111 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [18:00:00 14/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [18:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [18:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 14/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 14/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.0556 u1: Deg. C st: NotStopd t0: [18:00:00 14/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.9 u1: Deg. F st: NotStopd t0: [18:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 14/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 180 vu: ml t0: [18:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [18:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml
t0: [23:00:00 14/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 780 ap: none
t0: [08:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 14/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 14/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [12:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 14/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 14/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 14/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [12:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 14/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [14:00:00 14/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [14:00:00 14/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [14:00:00 14/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 14/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 14/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [16:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 14/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 14/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 14/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [16:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 14/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [18:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [18:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 14/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [18:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [18:00:00 14/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [18:00:00 14/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 14/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 14/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [20:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [20:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [20:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#1 D/C Date el: 0 cu: CCU cg: -1 v1: 7 v2: 29 st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#1 Type/Site el: 0 cu: CCU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 14/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 14/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 14/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 14/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 96 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [20:00:00 14/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [20:00:00 14/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 14/07/2014] tf: [18:13:00 17/07/2014] dt: 4213 id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 14/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 14/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [20:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:00:00 14/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [20:00:00 14/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 14/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.0556 u1: Deg. C st: NotStopd t0: [20:00:00 14/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.9 u1: Deg. F st: NotStopd t0: [20:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [20:00:00 14/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [20:00:00 14/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 14/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [20:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 14/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 14/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [20:00:00 14/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [20:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [20:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [20:00:00 14/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 14/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 14/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 14/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [20:00:00 14/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 14/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 14/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 14/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 14/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 14/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [20:00:00 14/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 14/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 14/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 14/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [20:00:00 14/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [21:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [21:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [21:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 14/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 14/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [21:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [21:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [21:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [21:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [21:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 35 vu: ml
t0: [22:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [22:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [22:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 14/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 14/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [22:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [22:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [22:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [22:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 14/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [23:00:00 14/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 14/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 14/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 14/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 14/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 90 degrees st: NotStopd t0: [23:00:00 14/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [23:00:00 14/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 14/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [23:00:00 14/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Good st: NotStopd t0: [23:00:00 14/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [23:00:00 14/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [23:00:00 14/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 148 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [23:00:00 14/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 106 u1: mmHg st: NotStopd t0: [23:00:00 14/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Non-Rebreather st: NotStopd t0: [23:00:00 14/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 1 u1: lpm st: NotStopd t0: [23:00:00 14/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [23:00:00 14/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [23:00:00 14/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 14/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [23:00:00 14/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [23:00:00 14/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [23:00:00 14/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 32 u1: BPM st: NotStopd t0: [23:00:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 75 u1: % st: NotStopd t0: [23:00:00 14/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [23:00:00 14/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [23:00:00 14/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:30:00 14/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [23:30:00 14/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [23:30:00 14/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd
t0: [22:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [22:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vu: ml t0: [23:00:00 14/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [23:00:00 14/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 320 vu: ml
t0: [23:00:00 14/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 pv: 320 cv: 320 ap: none t0: [23:00:00 14/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: -300 cv: -300 ap: none t0: [23:00:00 14/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 20 cv: 780 ap: none t0: [23:00:00 14/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 20 cv: 1560 ap: none t0: [23:00:00 14/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 pv: 320 cv: 895 ap: none t0: [23:00:00 14/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: -300 cv: 665 ap: none t0: [23:00:00 14/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 pv: 320 cv: 895 ap: none t0: [23:00:00 14/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: -300 cv: 1413.15 ap: none
t0: [00:21:00 15/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd t0: [00:21:00 15/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 5 rs: Final st: NotStopd t0: [00:21:00 15/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 30 rs: Final st: NotStopd t0: [00:21:00 15/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [00:21:00 15/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 134 u1: mmHg rs: Final st: NotStopd t0: [00:21:00 15/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.47 rs: Final st: NotStopd
t0: [00:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 15/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: -1 v1: 7.47 rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 15/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 15/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 15/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [00:00:00 15/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [00:00:00 15/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 90 degrees st: NotStopd t0: [00:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [00:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 15/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [00:00:00 15/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 15/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 15/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 15/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 15/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 15/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 15/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Lethargic st: NotStopd t0: [00:00:00 15/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [00:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [00:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [00:00:00 15/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 15/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [00:00:00 15/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [00:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 15/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 15/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 15/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 15/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [00:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [00:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 31 u1: BPM st: NotStopd t0: [00:00:00 15/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 15/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 15/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [00:00:00 15/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 15/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [00:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Axillary st: NotStopd t0: [00:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [00:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [00:00:00 15/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [00:00:00 15/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 15/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 1 u1: # st: NotStopd t0: [00:00:00 15/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [00:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 15/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: -1 v1: 5 rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: -1 v1: 30 rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: -1 v1: 40 u1: mmHg rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: -1 v1: 134 u1: mmHg rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Calm st: NotStopd t0: [00:00:00 15/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: -1 v1: 7.47 rs: Manual st: NotStopd t0: [00:00:00 15/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 15/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 15 u1: number st: NotStopd t0: [00:00:00 15/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [00:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [00:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 300 vu: ml
t0: [01:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [01:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [01:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [01:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [01:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [01:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 110 vu: ml
t0: [02:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [02:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [02:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [02:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [02:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [02:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml
t0: [01:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Aerosol-Cool st: NotStopd t0: [01:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 0.5 u1: lpm st: NotStopd t0: [01:00:00 15/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 1 u1: # st: NotStopd t0: [02:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [02:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [02:00:00 15/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 1 u1: # st: NotStopd t0: [03:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 65 u1: BPM st: NotStopd t0: [03:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 98 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [03:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 61.3333 u1: mmHg st: NotStopd t0: [03:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [03:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [03:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [03:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 15/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 1 u1: # st: NotStopd t0: [03:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [03:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 80 vu: ml
t0: [20:00:00 14/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 14/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 14/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Foot, Left st: NotStopd t0: [00:00:00 15/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 15/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 15/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Foot, Left st: NotStopd t0: [04:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 15/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 15/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 15/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 15/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [04:00:00 15/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [04:00:00 15/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 15/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [04:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 15/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 22 st: NotStopd t0: [04:00:00 15/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 15/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 15/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 15/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 15/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 15/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 15/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 15/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [04:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [04:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [04:00:00 15/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 15/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [04:00:00 15/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 15/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 15/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 15/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 15/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 15/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 15/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 15/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 15/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [04:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 15/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 15/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 15/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [04:00:00 15/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 15/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [04:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.0556 u1: Deg. C st: NotStopd t0: [04:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.9 u1: Deg. F st: NotStopd t0: [04:00:00 15/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 15/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [04:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 15/07/2014] id: Ventilator No. el: 0 cu: CCU cg: -1 v1: 1 u1: # st: NotStopd t0: [04:00:00 15/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 15/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 15/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [04:00:00 15/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [04:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [04:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 22 vu: ml
t0: [04:00:00 15/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Restless st: NotStopd
t0: [05:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [05:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 107 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 73.6667 u1: mmHg st: NotStopd t0: [05:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [05:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [05:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [06:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 123 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [06:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 85.6667 u1: mmHg st: NotStopd t0: [06:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [06:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [06:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 40 vu: ml t0: [06:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 30 vu: ml
t0: [06:00:00 15/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.4 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 32.8 u1: % rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11 u1: gm/dl rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 439 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.66 u1: /mic l rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 16.4 rs: Final st: NotStopd
t0: [06:00:00 15/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 39 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.7 u1: mg/dl rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 109 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 120 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2.1 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 5 u1: mEq/L rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.5 rs: Final st: NotStopd t0: [06:00:00 15/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 147 rs: Final st: NotStopd
t0: [07:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [07:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [07:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [07:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [07:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [07:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [07:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 15/07/2014] id: INV Line#1InsertDate el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [08:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 15/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 15/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [08:00:00 15/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 15/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [08:00:00 15/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [08:00:00 15/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 15/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [08:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 15/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 15/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [08:00:00 15/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 15/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 15/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 15/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 15/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 15/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 15/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 111 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [08:00:00 15/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 15/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [08:00:00 15/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 15/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 15/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 15/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [08:00:00 15/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [08:00:00 15/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 15/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 15/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [08:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 15/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [08:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 15/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 15/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 15/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [08:00:00 15/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [08:00:00 15/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [08:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.3889 u1: Deg. C st: NotStopd t0: [08:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.5 u1: Deg. F st: NotStopd t0: [08:00:00 15/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 15/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 15/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [08:00:00 15/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [08:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 15/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Chairfast st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 15/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 17 u1: number st: NotStopd t0: [08:00:00 15/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 15/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 120 vu: ml t0: [08:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 40 vu: ml t0: [08:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [09:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [09:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [09:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [09:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 90 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [09:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 55.3333 u1: mmHg st: NotStopd t0: [09:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [09:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [10:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [10:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [10:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [10:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [10:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [10:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [10:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 40 vu: ml t0: [10:00:00 15/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: -1 vo: 500 vu: ml t0: [10:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 50 vu: ml
t0: [23:00:00 15/07/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: -1 cv: 500 ap: none
t0: [11:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [11:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [11:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [11:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [11:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [11:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 33 u1: BPM st: NotStopd t0: [11:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Chair st: NotStopd t0: [10:00:00 15/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 15/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: Total Lift st: NotStopd t0: [12:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [12:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 15/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 15/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [12:00:00 15/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 15/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Consistently st: NotStopd t0: [12:00:00 15/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [12:00:00 15/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [12:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 15/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Chair st: NotStopd t0: [12:00:00 15/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 15/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 15/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 15/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 15/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [12:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 15/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [12:00:00 15/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [12:00:00 15/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [12:00:00 15/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 15/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 15/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Lifts and Holds st: NotStopd t0: [12:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 15/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Normal Strength st: NotStopd t0: [12:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [12:00:00 15/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [12:00:00 15/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 15/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [12:00:00 15/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [12:00:00 15/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [12:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [12:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.2778 u1: Deg. C st: NotStopd t0: [12:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.3 u1: Deg. F st: NotStopd t0: [12:00:00 15/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [12:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 15/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [12:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 15/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Chairfast st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 15/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 17 u1: number st: NotStopd t0: [12:00:00 15/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [10:00:00 15/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 240 vu: ml t0: [12:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 40 vu: ml t0: [12:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [13:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [13:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [13:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 66.6667 u1: mmHg st: NotStopd t0: [13:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [13:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [13:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [13:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 15/07/2014] id: Po Intake PO/Gastric el: 2 cu: CCU cg: -1 ai: 114 vo: 120 vu: ml
t0: [23:00:00 15/07/2014] dt: 24 id: PO/Gastric In Total el: 1 cu: CCU cg: -1 cv: 480 ap: none
t0: [13:55:00 15/07/2014] id: BSA el: 1033 cu: CCU cg: -1 v1: 1.82242 u1: m2 t0: [13:55:00 15/07/2014] id: Admit Wt el: 1032 cu: CCU cg: -1 v1: 68 u1: kg t0: [13:55:00 15/07/2014] id: Allergy 1 el: 1020 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: Diagnosis/op el: 1023 cu: CCU cg: -1 v1: ACUTE MYOCARDIAL INFARCTION t0: [13:55:00 15/07/2014] id: Service el: 1026 cu: CCU cg: -1 v1: CME t0: [13:55:00 15/07/2014] id: Admit Ht el: 1034 cu: CCU cg: -1 v1: 69 u1: inches t0: [13:55:00 15/07/2014] id: Readmission el: 1014 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: Marital Status el: 1006 cu: CCU cg: -1 v1: M t0: [13:55:00 15/07/2014] id: Religion el: 1000 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: Allergy 2 el: 1021 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: Ext el: 1010 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: PIN el: 1012 cu: CCU cg: -1 t0: [13:55:00 15/07/2014] id: Allergy 3 el: 1022 cu: CCU cg: -1
t0: [14:31:00 15/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:31:00 15/07/2014] tf: [18:13:00 17/07/2014] dt: 3102 id: Micro-Neb Treatment el: 0 cu: CCU cg: RRT v1: alb/atr st: NotStopd t0: [14:31:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RRT v1: Aerosol-Cool st: NotStopd t0: [14:31:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [14:31:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: RRT v1: 95 u1: % st: NotStopd
t0: [14:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 72 u1: BPM st: NotStopd t0: [14:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [14:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [14:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 89 u1: % st: NotStopd t0: [14:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 189 vo: 40 vu: ml t0: [14:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [15:00:00 15/07/2014] id: Art.pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd t0: [15:00:00 15/07/2014] id: Arterial Base Excess ABG el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [15:00:00 15/07/2014] id: Arterial CO2(Calc) ABG el: 0 cu: CCU cg: 140 v1: 28 rs: Final st: NotStopd t0: [15:00:00 15/07/2014] id: Arterial PaCO2 ABG el: 0 cu: CCU cg: 140 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 15/07/2014] id: Arterial PaO2 ABG el: 0 cu: CCU cg: 140 v1: 106 u1: mmHg rs: Final st: NotStopd t0: [15:00:00 15/07/2014] id: Arterial pH ABG el: 0 cu: CCU cg: 140 v1: 7.42 rs: Final st: NotStopd
t0: [14:15:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:15:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:15:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:15:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:15:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [14:15:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:15:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 156 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:15:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 90.6667 u1: mmHg st: NotStopd t0: [14:15:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:15:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 88 u1: % st: NotStopd t0: [14:15:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:30:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:30:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:30:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:30:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:30:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [14:30:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:30:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 158 u1: mmHg v2: 95 u2: mmHg st: NotStopd t0: [14:30:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 116 u1: mmHg st: NotStopd t0: [14:30:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:30:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 38 u1: BPM st: NotStopd t0: [14:30:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 94 u1: % st: NotStopd t0: [14:30:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:45:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:45:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:45:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:45:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:45:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [14:45:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:45:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 136 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [14:45:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 91.3333 u1: mmHg st: NotStopd t0: [14:45:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:45:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 91 u1: % st: NotStopd t0: [14:45:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [15:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [15:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [15:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [15:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [15:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [15:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 37 u1: BPM st: NotStopd t0: [15:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [15:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [16:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: Occasional st: NotStopd t0: [16:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: PVC's st: NotStopd t0: [16:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [16:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 62.6667 u1: mmHg st: NotStopd t0: [16:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [16:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [15:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml t0: [16:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [16:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml
t0: [17:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [17:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [17:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [17:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [17:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [17:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [17:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [17:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [17:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml
t0: [16:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 35.5556 u1: Deg. C st: NotStopd t0: [16:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96 u1: Deg. F st: NotStopd t0: [18:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [18:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [18:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [18:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [18:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [18:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [17:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml t0: [18:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 20 vu: ml t0: [18:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 200 vu: ml
t0: [20:00:00 15/07/2014] id: .9% Normal Saline 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 189 vo: 0 st: D/C'd
t0: [19:30:00 15/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.4 rs: Final st: NotStopd
t0: [19:30:00 15/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 19.3 rs: Final st: NotStopd t0: [19:30:00 15/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 33.4 u1: % rs: Final st: NotStopd t0: [19:30:00 15/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 11.1 u1: gm/dl rs: Final st: NotStopd t0: [19:30:00 15/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 453 rs: Final st: NotStopd t0: [19:30:00 15/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.72 u1: /mic l rs: Final st: NotStopd t0: [19:30:00 15/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 19.3 rs: Final st: NotStopd
t0: [19:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [19:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [19:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [19:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [19:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 63.3333 u1: mmHg st: NotStopd t0: [19:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [20:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 103 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [20:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [20:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [20:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:30:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [20:30:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [20:30:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:30:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [20:30:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [20:30:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:30:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 86 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [20:30:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [20:30:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [20:30:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [20:30:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [20:30:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 180 vu: ml
t0: [21:00:00 15/07/2014] id: Stool Out Stool el: 1 cu: CCU cg: -1 vo: 0 st: D/C'd
t0: [20:00:00 15/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 15/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 15/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 15/07/2014] id: Family Communication el: 0 cu: CCU cg: -1 v1: Family Visited st: NotStopd t0: [20:00:00 15/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [20:00:00 15/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [20:00:00 15/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 15/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 15 degrees st: NotStopd t0: [20:00:00 15/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 15/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [20:00:00 15/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 15/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [20:00:00 15/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [20:00:00 15/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [20:00:00 15/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 15/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 15/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [20:00:00 15/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 15/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [20:00:00 15/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 15/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [20:00:00 15/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 15/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [20:00:00 15/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [20:00:00 15/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [20:00:00 15/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [20:00:00 15/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 15/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 15/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 15/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [20:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 15/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [20:00:00 15/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 15/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [20:00:00 15/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [20:00:00 15/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: -1 v1: Green v2: Liquid st: NotStopd t0: [20:00:00 15/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [20:00:00 15/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [20:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 15/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [20:00:00 15/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Confused st: NotStopd t0: [20:00:00 15/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [20:00:00 15/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [20:00:00 15/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [21:00:00 15/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 250 vu: ml
io: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ra: 70 ru: ml/hr
id: D5/.45NS el: 1 cu: CCU cg: -1 io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [20:00:00 15/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [20:00:00 15/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36 u1: Deg. C st: NotStopd t0: [20:00:00 15/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 96.8 u1: Deg. F st: NotStopd t0: [20:00:00 15/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [21:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [21:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [21:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [21:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 55.6667 u1: mmHg st: NotStopd t0: [21:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [21:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [21:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [22:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [22:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [22:00:00 15/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [22:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 15/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 15/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 15/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [22:00:00 15/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [22:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [22:00:00 15/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [22:00:00 15/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 15/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [22:00:00 15/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [22:00:00 15/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [22:00:00 15/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [22:00:00 15/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 15/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 0 vu: ml nb: 1 t0: [22:00:00 15/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 65 vu: ml
t0: [23:00:00 15/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: -1 cv: 0 ap: none t0: [23:00:00 15/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: -1 cv: 1817 ap: none t0: [23:00:00 15/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: -1 cv: 2317 ap: none
t0: [23:00:00 15/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [23:00:00 15/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 15/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [23:00:00 15/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [23:00:00 15/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:00:00 15/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [23:00:00 15/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [23:00:00 15/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 15/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [23:00:00 15/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [23:00:00 15/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:00:00 15/07/2014] tf: [18:13:00 17/07/2014] dt: 2593 id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml
t0: [23:00:00 15/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: -1 pv: 70 cv: 70 ap: none t0: [23:00:00 15/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: -1 pv: 70 cv: 1200 ap: none t0: [23:00:00 15/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: -1 pv: 70 cv: 1680 ap: none t0: [23:00:00 15/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: -1 pv: 70 cv: -637 ap: none t0: [23:00:00 15/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: -1 pv: 70 cv: 776.151 ap: none
t0: [00:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 16/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [00:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [00:00:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [00:00:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [00:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 16/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 16/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 16/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 16/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 16/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 16/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [00:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 67.3333 u1: mmHg st: NotStopd t0: [00:00:00 16/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 16/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [00:00:00 16/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [00:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 16/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [00:00:00 16/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [00:00:00 16/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [00:00:00 16/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 16/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 16/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 16/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [00:00:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 16/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [00:00:00 16/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 16/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [00:00:00 16/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [00:00:00 16/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: -1 v1: Green v2: Liquid st: NotStopd t0: [00:00:00 16/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [00:00:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [00:00:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [00:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 16/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [00:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 16/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Confused st: NotStopd t0: [00:00:00 16/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hyperactive st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 16/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [00:00:00 16/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [00:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [00:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 70 vu: ml
t0: [23:00:00 16/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: CCU cg: RN cv: 0 ap: none t0: [23:00:00 16/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: CCU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 16/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: CCU cg: RN pv: 140 cv: 2580 ap: none t0: [23:00:00 16/07/2014] dt: 24 id: 24h Total In el: 1 cu: CCU cg: RN pv: 140 cv: 2580 ap: none t0: [23:00:00 16/07/2014] dt: 24 id: Urine Out Total el: 1 cu: CCU cg: RN cv: 2175 ap: none t0: [23:00:00 16/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: CCU cg: RN pv: 140 cv: 105 ap: none t0: [23:00:00 16/07/2014] dt: 24 id: 24h Total Out el: 1 cu: CCU cg: RN cv: 2475 ap: none t0: [23:00:00 16/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: CCU cg: RN pv: 140 cv: 881.151 ap: none
t0: [01:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [01:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 95 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [01:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [01:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 90 u1: % st: NotStopd t0: [01:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:30:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:30:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:30:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:30:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:30:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 77 u1: BPM st: NotStopd t0: [01:30:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:30:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 78 u1: mmHg v2: 26 u2: mmHg st: NotStopd t0: [01:30:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 43.3333 u1: mmHg st: NotStopd t0: [01:30:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:30:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [01:30:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:30:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [02:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Diminished st: NotStopd t0: [02:00:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [02:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 88 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [02:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 58.6667 u1: mmHg st: NotStopd t0: [02:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [02:00:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [02:00:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [02:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 96 u1: % st: NotStopd t0: [02:00:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [02:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 500 vu: ml t0: [02:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [02:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 60 vu: ml
t0: [03:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml
t0: [03:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [03:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 119 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [03:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [03:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [03:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 105 vo: 100 vu: ml
t0: [02:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [02:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [02:00:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [02:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [02:00:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [02:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 16/07/2014] id: Dorsal PedPulse R/L el: 0 cu: CCU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [04:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 16/07/2014] id: Eye Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 13 u1: points st: NotStopd t0: [04:00:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [04:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 16/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 16/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 16/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 16/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 16/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 16/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 5 Localizes Pain st: NotStopd t0: [04:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [04:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 70.6667 u1: mmHg st: NotStopd t0: [04:00:00 16/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 16/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: -1 v1: 3 u1: lpm st: NotStopd t0: [04:00:00 16/07/2014] id: Oral Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Disoriented st: NotStopd t0: [04:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 2 Person Assist st: NotStopd t0: [04:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 16/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [04:00:00 16/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 16/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 16/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 16/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 16/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 16/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: -1 v1: Moves on Bed st: NotStopd t0: [04:00:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Crackles st: NotStopd t0: [04:00:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [04:00:00 16/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: -1 v1: Verbal v2: Localizes st: NotStopd t0: [04:00:00 16/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 16/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [04:00:00 16/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: -1 v1: Purposeful st: NotStopd t0: [04:00:00 16/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: -1 v1: Golden v2: Liquid st: NotStopd t0: [04:00:00 16/07/2014] id: Support Systems el: 0 cu: CCU cg: -1 v1: Many Supports st: NotStopd t0: [04:00:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 36.5556 u1: Deg. C st: NotStopd t0: [04:00:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 97.8 u1: Deg. F st: NotStopd t0: [04:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Back st: NotStopd t0: [04:00:00 16/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 16/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 16/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Confused st: NotStopd t0: [04:00:00 16/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Hyperactive st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Potential Prob st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Adequate st: NotStopd t0: [04:00:00 16/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 16 u1: number st: NotStopd t0: [04:00:00 16/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [04:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [04:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 70 vu: ml
t0: [05:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [05:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 102 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [05:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 66.6667 u1: mmHg st: NotStopd t0: [05:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [05:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [05:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 16/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.8 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 30.9 u1: % rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.3 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 410 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.41 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.8 rs: Final st: NotStopd
t0: [05:00:00 16/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 35 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 112 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.9 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 116 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 16/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 146 rs: Final st: NotStopd
t0: [08:00:00 16/07/2014] id: GI Intub #1/Site el: 0 cu: CCU cg: -1 st: D/C'd t0: [08:00:00 16/07/2014] id: GI#1 Tube PlaceCheck el: 0 cu: CCU cg: -1 st: D/C'd
t0: [08:00:00 16/07/2014] id: TF Residual Gastric/TF Residual el: 1 cu: CCU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [08:00:00 16/07/2014] id: Gastric Meds PO/Gastric el: 1 cu: CCU cg: -1 ai: 208 vo: 0 st: D/C'd t0: [08:00:00 16/07/2014] id: Respalor Tube Feeding el: 1 cu: CCU cg: -1 ai: 498 vo: 0 st: D/C'd t0: [08:00:00 16/07/2014] id: .9% Normal Saline 100.0ml + 500mcghr Fentanyl IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 0 st: D/C'd
t0: [07:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [07:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [07:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 102 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [07:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [07:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [07:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 18 u1: BPM st: NotStopd t0: [07:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [08:00:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [08:00:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [08:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 16/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 16/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [08:00:00 16/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [08:00:00 16/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [08:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [08:00:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [08:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [08:00:00 16/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 16/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [08:00:00 16/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [08:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [08:00:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 16/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [08:00:00 16/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [08:00:00 16/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [08:00:00 16/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 16/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [08:00:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [08:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [08:00:00 16/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [08:00:00 16/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 16/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [08:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 16/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [08:00:00 16/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Liquid st: NotStopd t0: [08:00:00 16/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [08:00:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [08:00:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7222 u1: Deg. C st: NotStopd t0: [08:00:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.3 u1: Deg. F st: NotStopd t0: [08:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 16/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [08:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 16/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [08:00:00 16/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 14 u1: number st: NotStopd t0: [08:00:00 16/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd
t0: [08:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 280 vu: ml t0: [08:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [09:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [09:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 79 u1: BPM st: NotStopd t0: [09:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 113 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [09:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [09:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [09:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [09:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [10:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 45 degrees st: NotStopd t0: [10:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 66 u1: BPM st: NotStopd t0: [10:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [10:00:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [10:00:00 16/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 16/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [10:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [10:00:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [10:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [10:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [10:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [10:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [10:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [10:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 35 vu: ml
t0: [11:46:00 16/07/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: -1 st: D/C'd
t0: [11:45:00 16/07/2014] id: Pain Present el: 0 cu: CCU cg: RN v1: No st: NotStopd t0: [11:45:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [11:45:00 16/07/2014] tf: [18:13:00 17/07/2014] dt: 1828 id: Chest PT R/L el: 0 cu: CCU cg: RN v1: Done v2: Done st: NotStopd t0: [11:45:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:45:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:45:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:45:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:45:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [11:45:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [11:45:00 16/07/2014] id: GI Guaiac/ph el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [11:45:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:45:00 16/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 15 degrees st: NotStopd t0: [11:45:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 67 u1: BPM st: NotStopd t0: [11:45:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 16/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:45:00 16/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [11:45:00 16/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:45:00 16/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [11:45:00 16/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [11:45:00 16/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: RN v1: Tolerated Well st: NotStopd t0: [11:45:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:45:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:45:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [11:45:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:45:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 112 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:45:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [11:45:00 16/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:45:00 16/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 3 u1: lpm st: NotStopd t0: [11:45:00 16/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:45:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [11:45:00 16/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:45:00 16/07/2014] id: Assistance Device el: 0 cu: CCU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:45:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:45:00 16/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [11:45:00 16/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [11:45:00 16/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [11:45:00 16/07/2014] id: Pupil Response R/L el: 0 cu: CCU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [11:45:00 16/07/2014] id: Pupil Size R/L el: 0 cu: CCU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [11:45:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:45:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:45:00 16/07/2014] id: Radiologic Study el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [11:45:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [11:45:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 26 u1: BPM st: NotStopd t0: [11:45:00 16/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:45:00 16/07/2014] id: Skin Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:45:00 16/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:45:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [11:45:00 16/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [11:45:00 16/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [11:45:00 16/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [11:45:00 16/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Liquid st: NotStopd t0: [11:45:00 16/07/2014] id: Stool Guaiac el: 0 cu: CCU cg: RN v1: Positive st: NotStopd t0: [11:45:00 16/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [11:45:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [11:45:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.6111 u1: Deg. C st: NotStopd t0: [11:45:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.1 u1: Deg. F st: NotStopd t0: [11:45:00 16/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Left Side st: NotStopd t0: [11:45:00 16/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [11:45:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:45:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [11:45:00 16/07/2014] id: Back Care el: 0 cu: CCU cg: RN v1: Done st: NotStopd t0: [11:45:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [11:45:00 16/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [11:45:00 16/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [11:45:00 16/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 13 u1: number st: NotStopd t0: [11:45:00 16/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [11:45:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 122.5 vu: ml t0: [11:45:00 16/07/2014] tf: [18:13:00 17/07/2014] dt: 1828 id: Stool Out Fecal Bag el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [11:45:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 16/07/2014] dt: 24 id: Stool Out Total el: 1 cu: CCU cg: RN cv: 300 ap: none
t0: [13:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [13:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [13:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [13:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 100 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [13:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [13:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 93 u1: % st: NotStopd t0: [13:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 87.5 vu: ml t0: [13:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 180 vu: ml
t0: [14:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [14:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [14:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 67 u1: BPM st: NotStopd t0: [14:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [14:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 68.3333 u1: mmHg st: NotStopd t0: [14:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [14:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [14:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 460 vu: ml
t0: [15:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [15:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [15:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [15:00:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Consistently st: NotStopd t0: [15:00:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [15:00:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [15:00:00 16/07/2014] id: HOB el: 0 cu: CCU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 69 u1: BPM st: NotStopd t0: [15:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 16/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [15:00:00 16/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [15:00:00 16/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [15:00:00 16/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [15:00:00 16/07/2014] id: Activity el: 0 cu: CCU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 16/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 16/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [15:00:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [15:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [15:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 72.6667 u1: mmHg st: NotStopd t0: [15:00:00 16/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [15:00:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [15:00:00 16/07/2014] id: Position el: 0 cu: CCU cg: RN v1: Supine st: NotStopd t0: [15:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 16/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken v2: Unchanged st: NotStopd t0: [15:00:00 16/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [15:00:00 16/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [15:00:00 16/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 16/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [15:00:00 16/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [15:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 16/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [15:00:00 16/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 16/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [15:00:00 16/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [15:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 16/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [15:00:00 16/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Green v2: Loose st: NotStopd t0: [15:00:00 16/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Many Supports st: NotStopd t0: [15:00:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [15:00:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.7778 u1: Deg. C st: NotStopd t0: [15:00:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.4 u1: Deg. F st: NotStopd t0: [15:00:00 16/07/2014] id: Turn el: 0 cu: CCU cg: RN v1: Back st: NotStopd t0: [15:00:00 16/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [15:00:00 16/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [15:00:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [15:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [15:00:00 16/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [15:00:00 16/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Chairfast st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Occ. Moist st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [15:00:00 16/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 15 u1: number st: NotStopd t0: [15:00:00 16/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Sl. Limited st: NotStopd
t0: [15:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 70 vu: ml t0: [15:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 500 vu: ml
t0: [16:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [16:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 111 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [16:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:00:00 16/07/2014] id: Procedures el: 0 cu: CCU cg: RN v1: Cardiac Echo st: NotStopd t0: [16:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [16:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 112 vo: 70 vu: ml t0: [16:30:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 250 vu: ml
t0: [17:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 71 u1: BPM st: NotStopd t0: [17:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 93 u1: mmHg v2: 35 u2: mmHg st: NotStopd t0: [17:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 54.3333 u1: mmHg st: NotStopd t0: [17:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [17:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 91 u1: % st: NotStopd t0: [17:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [18:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [18:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 78 u1: BPM st: NotStopd t0: [18:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [18:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [18:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [18:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [19:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [19:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [19:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 76.3333 u1: mmHg st: NotStopd t0: [19:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [19:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 40 u1: BPM st: NotStopd t0: [19:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 94 u1: % st: NotStopd t0: [19:00:00 16/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: White v2: Thin st: NotStopd t0: [19:00:00 16/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [19:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [19:00:00 16/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 100 vu: ml t0: [19:00:00 16/07/2014] tf: [18:13:00 17/07/2014] dt: 1393 id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 210 vu: ml t0: [19:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 300 vu: ml
t0: [20:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [20:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [20:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 80 u1: BPM st: NotStopd t0: [20:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 86 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [20:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 55.3333 u1: mmHg st: NotStopd t0: [20:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [20:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 24 u1: BPM st: NotStopd t0: [20:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [20:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [21:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [21:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [21:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 92 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [21:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 57.3333 u1: mmHg st: NotStopd t0: [21:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [21:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [21:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [21:00:00 16/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 130 vu: ml
t0: [21:00:00 16/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [21:00:00 16/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 36.3889 u1: Deg. C st: NotStopd t0: [21:00:00 16/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 97.5 u1: Deg. F st: NotStopd
id: KCL el: 201 cu: CCU cg: RN io: D5/.45NS 1000.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
id: D5/.45NS el: 2 cu: CCU cg: RN io: D5/.45NS 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [21:00:00 16/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 16/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 16/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [21:00:00 16/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [21:00:00 16/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [21:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [21:00:00 16/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 16/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Oriented x 1 st: NotStopd t0: [21:00:00 16/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [22:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [22:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [22:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 93 u1: BPM st: NotStopd t0: [22:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [22:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [22:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [22:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [22:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 90 u1: % st: NotStopd t0: [22:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:00:00 16/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [23:00:00 16/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 16/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 16/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [23:00:00 16/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 68 u1: BPM st: NotStopd t0: [23:00:00 16/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 16/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Sleeping st: NotStopd t0: [23:00:00 16/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 16/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [23:00:00 16/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [23:00:00 16/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 30 u1: BPM st: NotStopd t0: [23:00:00 16/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 90 u1: % st: NotStopd t0: [23:00:00 16/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 16/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml nb: 1
t0: [00:00:00 17/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [00:00:00 17/07/2014] id: Pain Assess Method el: 0 cu: CCU cg: -1 v1: Grimace Scale st: NotStopd t0: [00:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [00:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [00:00:00 17/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [00:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [00:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 17/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 17/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [00:00:00 17/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 17/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 17/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 17/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sleeping st: NotStopd t0: [00:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 87 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [00:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 59.6667 u1: mmHg st: NotStopd t0: [00:00:00 17/07/2014] id: Pain Location el: 0 cu: CCU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 17/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 17/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [00:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 17/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [00:00:00 17/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 17/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 17/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 17/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [00:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [00:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 160 vu: ml
t0: [23:00:00 17/07/2014] dt: 1 id: Total Hourly Output el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 17/07/2014] dt: 1 id: Net Hourly Balance el: 1 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 17/07/2014] dt: 24 id: IV Infusion In Total el: 1 cu: -1 cg: RN cv: 1310 ap: none t0: [23:00:00 17/07/2014] dt: 24 id: 24h Total In el: 1 cu: -1 cg: RN cv: 1310 ap: none t0: [23:00:00 17/07/2014] dt: 24 id: Urine Out Total el: 1 cu: -1 cg: RN cv: 918 ap: none t0: [23:00:00 17/07/2014] dt: 24 id: 24h Net Body Balance el: 1 cu: -1 cg: RN cv: 92 ap: none t0: [23:00:00 17/07/2014] dt: 24 id: 24h Total Out el: 1 cu: -1 cg: RN cv: 1218 ap: none t0: [23:00:00 17/07/2014] dt: multiple days id: LOS Net Body Balance el: 1 cu: -1 cg: RN cv: 973.151 ap: none
t0: [01:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [01:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [01:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [01:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [01:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sleeping st: NotStopd t0: [01:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 89 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [01:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [01:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [02:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [02:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [02:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [02:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sleeping st: NotStopd t0: [02:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 64.3333 u1: mmHg st: NotStopd t0: [02:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [02:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [02:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [02:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [02:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 120 vu: ml
t0: [03:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [03:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [03:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 68 u1: BPM st: NotStopd t0: [03:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [03:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Sleeping st: NotStopd t0: [03:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 61.6667 u1: mmHg st: NotStopd t0: [03:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [03:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [03:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/07/2014] id: Pain Present el: 0 cu: CCU cg: -1 v1: No st: NotStopd t0: [04:00:00 17/07/2014] id: Pain Assess Method el: 0 cu: CCU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [04:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 17/07/2014] id: Cough Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/07/2014] id: Eye Opening el: 0 cu: CCU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 17/07/2014] id: Follows Commands el: 0 cu: CCU cg: -1 v1: Inconsistently st: NotStopd t0: [04:00:00 17/07/2014] id: GCS Total el: 0 cu: CCU cg: -1 v1: 14 u1: points st: NotStopd t0: [04:00:00 17/07/2014] id: Gag Reflex el: 0 cu: CCU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 17/07/2014] id: HOB el: 0 cu: CCU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [04:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 17/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 17/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: -1 v1: 7 v2: 21 st: NotStopd t0: [04:00:00 17/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: -1 v1: WNL st: NotStopd t0: [04:00:00 17/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 17/07/2014] id: Activity el: 0 cu: CCU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 17/07/2014] id: Activity Tolerance el: 0 cu: CCU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 17/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 17/07/2014] id: Motor Response el: 0 cu: CCU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 104 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 68.6667 u1: mmHg st: NotStopd t0: [04:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 17/07/2014] id: Oral Cavity el: 0 cu: CCU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 17/07/2014] id: Orientation el: 0 cu: CCU cg: -1 v1: Oriented x 1 st: NotStopd t0: [04:00:00 17/07/2014] id: Position el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 17/07/2014] id: Assistance Device el: 0 cu: CCU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 17/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [04:00:00 17/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [04:00:00 17/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: -1 v1: Red, Unbroken st: NotStopd t0: [04:00:00 17/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: -1 v1: Heel, Left st: NotStopd t0: [04:00:00 17/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 17/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: -1 v1: Open to Air st: NotStopd t0: [04:00:00 17/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: -1 v1: Duoderm st: NotStopd t0: [04:00:00 17/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: -1 v1: Heel, Right st: NotStopd t0: [04:00:00 17/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: -1 v1: Elbow, Right st: NotStopd t0: [04:00:00 17/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: -1 v1: Coarse st: NotStopd t0: [04:00:00 17/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [04:00:00 17/07/2014] id: Restraint Location el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [04:00:00 17/07/2014] id: Side Rails el: 0 cu: CCU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 17/07/2014] id: Skin Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/07/2014] id: Skin Integrity el: 0 cu: CCU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 95 u1: % st: NotStopd t0: [04:00:00 17/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: -1 v1: Green v2: Loose st: NotStopd t0: [04:00:00 17/07/2014] id: Temp. Site el: 0 cu: CCU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 17/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [04:00:00 17/07/2014] id: Temperature F el: 0 cu: CCU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [04:00:00 17/07/2014] id: Turn el: 0 cu: CCU cg: -1 v1: Left Side st: NotStopd t0: [04:00:00 17/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 17/07/2014] id: Urine Source el: 0 cu: CCU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 17/07/2014] id: Verbal Response el: 0 cu: CCU cg: -1 v1: 4 Confused st: NotStopd t0: [04:00:00 17/07/2014] id: Back Care el: 0 cu: CCU cg: -1 v1: Done st: NotStopd t0: [04:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 17/07/2014] id: Behavior el: 0 cu: CCU cg: -1 v1: Confused st: NotStopd t0: [04:00:00 17/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: -1 v1: Present st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Activity el: 0 cu: CCU cg: -1 v1: Bedfast st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: -1 v1: Problem st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Mobility el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Moisture el: 0 cu: CCU cg: -1 v1: Rarely Moist st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [04:00:00 17/07/2014] id: Braden Score el: 0 cu: CCU cg: -1 v1: 14 u1: number st: NotStopd t0: [04:00:00 17/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: -1 v1: Sl. Limited st: NotStopd
t0: [03:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [04:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [04:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 100 vu: ml
t0: [04:00:00 17/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Hematocrit Hematology el: 0 cu: CCU cg: 140 v1: 31.9 u1: % rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Hemoglobin Hematology el: 0 cu: CCU cg: 140 v1: 10.6 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Platelets Hematology el: 0 cu: CCU cg: 140 v1: 448 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: RBC Hematology el: 0 cu: CCU cg: 140 v1: 3.51 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: WBC (4-11,000) Hematology el: 0 cu: CCU cg: 140 v1: 13.3 rs: Final st: NotStopd
t0: [04:00:00 17/07/2014] id: BUN (6-20) Chemistry el: 0 cu: CCU cg: 140 v1: 26 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CCU cg: 140 v1: 7.9 u1: mg/dl rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Carbon Dioxide Chemistry el: 0 cu: CCU cg: 140 v1: 29 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Chloride (100-112) Chemistry el: 0 cu: CCU cg: 140 v1: 106 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Creatinine (0-1.3) Chemistry el: 0 cu: CCU cg: 140 v1: 0.8 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Glucose (70-105) Chemistry el: 0 cu: CCU cg: 140 v1: 118 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CCU cg: 140 v1: 2 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CCU cg: 140 v1: 3.6 u1: mEq/L rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CCU cg: 140 v1: 4.1 rs: Final st: NotStopd t0: [04:00:00 17/07/2014] id: Sodium (135-148) Chemistry el: 0 cu: CCU cg: 140 v1: 143 rs: Final st: NotStopd
t0: [05:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [05:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [05:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [05:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [05:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 77.3333 u1: mmHg st: NotStopd t0: [05:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [05:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 99 u1: % st: NotStopd t0: [05:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: -1 v1: CCU st: NotStopd t0: [06:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: -1 v1: None st: NotStopd t0: [06:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [06:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: -1 v1: 116 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [06:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [06:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: -1 v1: 97 u1: % st: NotStopd t0: [06:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml t0: [06:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: -1 ai: 112 vo: 70 vu: ml
t0: [06:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: -1 vo: 38 vu: ml
t0: [08:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [08:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [08:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 138 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [08:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 84.6667 u1: mmHg st: NotStopd t0: [08:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [08:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 19 u1: BPM st: NotStopd t0: [08:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 96 u1: % st: NotStopd t0: [08:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [09:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [09:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [09:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [09:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [10:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 88 u1: BPM st: NotStopd t0: [10:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 118 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [10:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 79.3333 u1: mmHg st: NotStopd t0: [10:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [10:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 27 u1: BPM st: NotStopd t0: [10:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 95 u1: % st: NotStopd t0: [10:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [11:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 145 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [11:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 95.6667 u1: mmHg st: NotStopd t0: [11:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [11:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [11:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [12:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 91 u1: BPM st: NotStopd t0: [12:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 17/07/2014] id: Temp. Site el: 0 cu: CCU cg: RN v1: Oral st: NotStopd t0: [12:00:00 17/07/2014] id: Temperature C (calc) el: 0 cu: CCU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [12:00:00 17/07/2014] id: Temperature F el: 0 cu: CCU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [12:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 17/07/2014] id: Cough Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:00:00 17/07/2014] id: Eye Opening el: 0 cu: CCU cg: RN v1: 4 Spontaneously st: NotStopd t0: [11:00:00 17/07/2014] id: Family Communication el: 0 cu: CCU cg: RN v1: Family Called st: NotStopd t0: [11:00:00 17/07/2014] id: Follows Commands el: 0 cu: CCU cg: RN v1: Inconsistently st: NotStopd t0: [11:00:00 17/07/2014] id: GCS Total el: 0 cu: CCU cg: RN v1: 14 u1: points st: NotStopd t0: [11:00:00 17/07/2014] id: Gag Reflex el: 0 cu: CCU cg: RN v1: Intact st: NotStopd t0: [11:00:00 17/07/2014] id: INV Line#3 Type/Site el: 0 cu: CCU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [11:00:00 17/07/2014] id: INV Line#3InsertDate el: 0 cu: CCU cg: RN v1: 7 v2: 21 st: NotStopd t0: [11:00:00 17/07/2014] id: INV Line#3SiteAppear el: 0 cu: CCU cg: RN v1: WNL st: NotStopd t0: [11:00:00 17/07/2014] id: Abdominal Assessment el: 0 cu: CCU cg: RN v1: Soft st: NotStopd t0: [11:00:00 17/07/2014] id: LL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 17/07/2014] id: LLL Lung Sounds el: 0 cu: CCU cg: RN v1: Bronchial st: NotStopd t0: [11:00:00 17/07/2014] id: LU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 17/07/2014] id: LUL Lung Sounds el: 0 cu: CCU cg: RN v1: Bronchial st: NotStopd t0: [11:00:00 17/07/2014] id: Level of Conscious el: 0 cu: CCU cg: RN v1: Alert st: NotStopd t0: [11:00:00 17/07/2014] id: Motor Response el: 0 cu: CCU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [11:00:00 17/07/2014] id: Oral Cavity el: 0 cu: CCU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [11:00:00 17/07/2014] id: Orientation el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [11:00:00 17/07/2014] id: PresSoreStage/Heal#1 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [11:00:00 17/07/2014] id: PresSoreStage/Heal#2 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [11:00:00 17/07/2014] id: PresSoreStage/Heal#3 el: 0 cu: CCU cg: RN v1: Red, Unbroken st: NotStopd t0: [11:00:00 17/07/2014] id: Press Sore Site #2 el: 0 cu: CCU cg: RN v1: Heel, Left st: NotStopd t0: [11:00:00 17/07/2014] id: PressSoreTreatment#1 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 17/07/2014] id: PressSoreTreatment#2 el: 0 cu: CCU cg: RN v1: Open to Air st: NotStopd t0: [11:00:00 17/07/2014] id: PressSoreTreatment#3 el: 0 cu: CCU cg: RN v1: Duoderm st: NotStopd t0: [11:00:00 17/07/2014] id: Pressure Sore Site#1 el: 0 cu: CCU cg: RN v1: Heel, Right st: NotStopd t0: [11:00:00 17/07/2014] id: Pressure Sore Site#3 el: 0 cu: CCU cg: RN v1: Elbow, Right st: NotStopd t0: [11:00:00 17/07/2014] id: RL Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 17/07/2014] id: RLL Lung Sounds el: 0 cu: CCU cg: RN v1: Clear st: NotStopd t0: [11:00:00 17/07/2014] id: RU Strength/Movement el: 0 cu: CCU cg: RN v1: Normal Strength st: NotStopd t0: [11:00:00 17/07/2014] id: RUL Lung Sounds el: 0 cu: CCU cg: RN v1: Coarse st: NotStopd t0: [11:00:00 17/07/2014] id: Respiratory Pattern el: 0 cu: CCU cg: RN v1: Regular st: NotStopd t0: [11:00:00 17/07/2014] id: Responds to Stimuli el: 0 cu: CCU cg: RN v1: Verbal v2: Localizes st: NotStopd t0: [11:00:00 17/07/2014] id: Restraint Location el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [11:00:00 17/07/2014] id: Side Rails el: 0 cu: CCU cg: RN v1: Side Rails Up st: NotStopd t0: [11:00:00 17/07/2014] id: Skin Integrity el: 0 cu: CCU cg: RN v1: Impaired st: NotStopd t0: [11:00:00 17/07/2014] id: Spontaneous Movement el: 0 cu: CCU cg: RN v1: Purposeful st: NotStopd t0: [11:00:00 17/07/2014] id: Stool Color/Consist el: 0 cu: CCU cg: RN v1: Brown v2: Loose st: NotStopd t0: [11:00:00 17/07/2014] id: Support Systems el: 0 cu: CCU cg: RN v1: Children st: NotStopd t0: [11:00:00 17/07/2014] id: Urine Color/Appear el: 0 cu: CCU cg: RN v1: Amber v2: Cloudy st: NotStopd t0: [11:00:00 17/07/2014] id: Urine Source el: 0 cu: CCU cg: RN v1: Indwelling Cath st: NotStopd t0: [11:00:00 17/07/2014] id: Verbal Response el: 0 cu: CCU cg: RN v1: 4 Confused st: NotStopd t0: [11:00:00 17/07/2014] id: Behavior el: 0 cu: CCU cg: RN v1: Calm st: NotStopd t0: [11:00:00 17/07/2014] id: Bowel Sounds el: 0 cu: CCU cg: RN v1: Present st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Activity el: 0 cu: CCU cg: RN v1: Bedfast st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Frict/Shear el: 0 cu: CCU cg: RN v1: Potential Prob st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Mobility el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Moisture el: 0 cu: CCU cg: RN v1: Moist st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Nutrition el: 0 cu: CCU cg: RN v1: Prob. Inadequate st: NotStopd t0: [11:00:00 17/07/2014] id: Braden Score el: 0 cu: CCU cg: RN v1: 11 u1: number st: NotStopd t0: [11:00:00 17/07/2014] id: Braden SensoryPercep el: 0 cu: CCU cg: RN v1: Very Limited st: NotStopd t0: [13:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [13:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 89 u1: BPM st: NotStopd t0: [13:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [13:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [13:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [13:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 25 u1: BPM st: NotStopd t0: [13:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [13:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [10:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [10:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 120 vu: ml t0: [12:00:00 17/07/2014] id: D5W 100.0ml IV Infusions el: 1 cu: CCU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [12:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 20 vu: ml
t0: [14:00:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [14:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [14:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 86 u1: BPM st: NotStopd t0: [14:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 106 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [14:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [14:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 23 u1: BPM st: NotStopd t0: [14:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [14:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [14:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [08:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [09:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [10:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [11:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [11:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [13:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [13:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [14:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [14:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [15:00:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [15:00:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 76 u1: BPM st: NotStopd t0: [15:00:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [15:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [15:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [15:00:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [15:00:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 16 u1: BPM st: NotStopd t0: [15:00:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [15:00:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 70 vu: ml t0: [15:00:00 17/07/2014] id: Stool Out Fecal Bag el: 1 cu: CCU cg: RN vo: 300 vu: ml t0: [15:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 60 vu: ml
t0: [23:00:00 17/07/2014] dt: 24 id: Stool Out Total el: 1 cu: -1 cg: RN cv: 300 ap: none
t0: [16:00:00 17/07/2014] id: FiO2 Set el: 0 cu: CCU cg: RN v1: 1 u1: torr st: NotStopd t0: [16:00:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Non-Rebreather st: NotStopd t0: [16:00:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 10 u1: lpm st: NotStopd t0: [16:30:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [16:30:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [16:30:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [16:30:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 105 u1: BPM st: NotStopd t0: [16:30:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [16:30:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 139 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [16:30:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [16:30:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [16:30:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [16:30:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [16:30:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 32 u1: BPM st: NotStopd t0: [16:30:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 98 u1: % st: NotStopd t0: [16:30:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd t0: [17:30:00 17/07/2014] id: Service Type el: 0 cu: CCU cg: RN v1: CCU st: NotStopd t0: [17:30:00 17/07/2014] id: Code Status el: 0 cu: CCU cg: RN v1: Full Code st: NotStopd t0: [17:30:00 17/07/2014] id: Ectopy Frequency el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 17/07/2014] id: Ectopy Type el: 0 cu: CCU cg: RN v1: None st: NotStopd t0: [17:30:00 17/07/2014] id: Heart Rate el: 0 cu: CCU cg: RN v1: 74 u1: BPM st: NotStopd t0: [17:30:00 17/07/2014] id: Heart Rhythm el: 0 cu: CCU cg: RN v1: Normal Sinus st: NotStopd t0: [17:30:00 17/07/2014] id: NBP el: 0 cu: CCU cg: RN v1: 107 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [17:30:00 17/07/2014] id: NBP Mean el: 0 cu: CCU cg: RN v1: 65.6667 u1: mmHg st: NotStopd t0: [17:30:00 17/07/2014] id: O2 Delivery Device el: 0 cu: CCU cg: RN v1: Nasal Cannula st: NotStopd t0: [17:30:00 17/07/2014] id: O2 Flow (lpm) el: 0 cu: CCU cg: RN v1: 4 u1: lpm st: NotStopd t0: [17:30:00 17/07/2014] id: Precautions el: 0 cu: CCU cg: RN v1: Universal st: NotStopd t0: [17:30:00 17/07/2014] id: Respiratory Rate el: 0 cu: CCU cg: RN v1: 29 u1: BPM st: NotStopd t0: [17:30:00 17/07/2014] id: SpO2 el: 0 cu: CCU cg: RN v1: 100 u1: % st: NotStopd t0: [17:30:00 17/07/2014] id: calprevflg el: 0 cu: CCU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 17/07/2014] id: Procedures el: 0 cu: CCU cg: RN v1: Other/Remarks st: NotStopd t0: [16:30:00 17/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged st: NotStopd t0: [16:30:00 17/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [17:00:00 17/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged st: NotStopd t0: [17:00:00 17/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Nasotracheal Sxn v2: Moderate st: NotStopd t0: [17:30:00 17/07/2014] id: Sputum Color/Consist el: 0 cu: CCU cg: RN v1: Blood Tinged st: NotStopd t0: [17:30:00 17/07/2014] id: Sputum Source/Amt el: 0 cu: CCU cg: RN v1: Suctioned v2: Moderate st: NotStopd
t0: [17:00:00 17/07/2014] id: D5/.45NS 1000.0ml IV Infusions el: 2 cu: CCU cg: RN ai: 112 vo: 140 vu: ml t0: [17:00:00 17/07/2014] id: Urine Out Foley el: 1 cu: CCU cg: RN vo: 240 vu: ml