This log is also available as text (s24799.txt) and as a (binary) annotation file (s24799.log).
Generated: Monday, 07-Jun-2010 13:20:42 EDT
(All dates below are surrogates.)
t0: [13:14:22 18/11/2009] tf: [14:42:07 29/11/2009] id: a41770 [view]
t0: [13:12:59 18/11/2009] tf: [14:41:59 29/11/2009] id: a41770n [view]
t0: 464394:54:56 tf: 464394:54:56 id: a42638 [view]
t0: [14:16:59 18/11/2009] tf: [13:59:59 20/11/2009] id: a42638n [view]
dd: 2720 ds: 5 ld: PURE HYPERCHOLESTEROLEM dd: 4019 ds: 6 ld: HYPERTENSION NOS dd: 4139 ds: 3 ld: ANGINA PECTORIS NEC/NOS dd: 41401 ds: 1 ld: CORON ATHEROSCLER NATIVE dd: 42731 ds: 2 ld: ATRIAL FIBRILLATION dd: 5185 ds: 4 ld: POST TRAUM PULM INSUFFIC
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Po Intake el: 1 cu: CSRU cg: -1 io: Po Intake PO/Gastric du: ml rt: Oral
tf: [13:06:00 02/12/2009] dt: 18853 cu: CSRU de: FA2
t0: [09:36:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 307 u1: mmHg rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [09:36:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 398 u1: mmHg rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 181 rs: Final st: NotStopd t0: [10:11:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.4 rs: Final st: NotStopd t0: [10:53:00 19/11/2009] id: BSA el: 1033 cu: CSRU cg: -1 v1: 2.05688 u1: m2 t0: [10:53:00 19/11/2009] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 86.3 u1: kg t0: [10:53:00 19/11/2009] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: NKDA t0: [10:53:00 19/11/2009] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [10:53:00 19/11/2009] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 67 u1: inches t0: [10:53:00 19/11/2009] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Marital Status el: 1006 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Religion el: 1000 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Ext el: 1010 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: PIN el: 1012 cu: CSRU cg: -1 t0: [10:53:00 19/11/2009] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [10:54:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 47 u1: mmHg rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 157 u1: mmHg rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.35 rs: Final st: NotStopd
t0: [10:54:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 34 u1: % rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.37 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [10:54:00 19/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
id: Epinephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions am: 2 du: mcgkgmin rt: IV Drip id: Levophed-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions am: 4 du: mcgkgmin rt: IV Drip id: Nitroglycerine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions am: 100 du: mcgkgmin rt: IV Drip id: Neosynephrine-k el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 100 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip id: KCL el: 100 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions am: 40 du: mEq rt: Intravenous Push
id: OR Crystalloid el: 1 cu: CSRU cg: RN io: OR Crystalloid OR Intake du: ml rt: Intravenous Push id: OR Colloid el: 1 cu: CSRU cg: RN io: OR Colloid OR Intake du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W IV Infusions du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 2mcgkgmin Epinephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 4mcgkgmin Levophed-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 1 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push id: Lactated Ringers el: 1 cu: CSRU cg: RN io: Lactated Ringers IV Infusions du: ml rt: Intravenous Push id: Sterile Water el: 1 cu: CSRU cg: RN io: Sterile Water 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [11:26:00 19/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 33.3333 u1: ml/cmH st: NotStopd t0: [11:26:00 19/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [11:26:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 1 u1: torr st: NotStopd t0: [11:26:00 19/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [11:26:00 19/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [11:26:00 19/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [11:26:00 19/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:26:00 19/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [11:26:00 19/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [11:26:00 19/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [11:26:00 19/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [11:26:00 19/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [11:26:00 19/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 7.8 u1: L/min st: NotStopd t0: [11:26:00 19/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 60 u1: L/m st: NotStopd t0: [11:26:00 19/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 29 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 28 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:26:00 19/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:26:00 19/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [11:26:00 19/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RRT v1: Clear st: NotStopd t0: [11:26:00 19/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 1 u1: BPM st: NotStopd t0: [11:26:00 19/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 11 u1: BPM st: NotStopd t0: [11:26:00 19/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RRT v1: Regular st: NotStopd t0: [11:26:00 19/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [11:26:00 19/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:26:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [11:26:00 19/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 770 u1: ml/B st: NotStopd t0: [11:26:00 19/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 800 u1: ml/B st: NotStopd t0: [11:26:00 19/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 160 u1: ml/B st: NotStopd t0: [11:26:00 19/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [11:26:00 19/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [11:26:00 19/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [11:31:00 19/11/2009] id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: -1 ai: 106 vo: 0 st: D/C'd
t0: [11:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 6 u1: mmHg st: NotStopd t0: [11:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [11:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [11:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [11:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [11:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:30:00 19/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [11:30:00 19/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.3333 u1: Deg. C st: NotStopd t0: [11:30:00 19/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 95.6 u1: Deg. F st: NotStopd t0: [11:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:30:00 19/11/2009] tf: [00:00:00 20/11/2009] dt: 750 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [11:30:00 19/11/2009] tf: [13:06:00 02/12/2009] dt: 18816 id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 10 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:56:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 233 u1: mmHg rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 136 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.31 rs: Final st: NotStopd t0: [11:56:00 19/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [11:30:00 19/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [11:30:00 19/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Change in Vitals st: NotStopd t0: [11:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:30:00 19/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Unarousable st: NotStopd t0: [11:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [11:30:00 19/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [11:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:30:00 19/11/2009] id: Significant Events el: 0 cu: CSRU cg: RN v1: OR Received st: NotStopd t0: [11:45:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:45:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [11:45:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:45:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:45:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [11:45:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:45:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 137 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [11:45:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [11:45:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:45:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [11:45:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [11:45:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 19/11/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 19/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [12:00:00 19/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 19/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [12:00:00 19/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 19/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction st: NotStopd t0: [12:00:00 19/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [12:00:00 19/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 19/11/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 19/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [12:00:00 19/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [12:00:00 19/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [12:00:00 19/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [12:00:00 19/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [12:00:00 19/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 14 gauge st: NotStopd t0: [12:00:00 19/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 19/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 19/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [12:00:00 19/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 19/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 19/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [12:00:00 19/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [12:00:00 19/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [12:00:00 19/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 19/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 19/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [12:00:00 19/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 19/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [12:00:00 19/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 19/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 19/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 19/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 19/11/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [12:00:00 19/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [12:00:00 19/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [12:00:00 19/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [12:00:00 19/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 19/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 19/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 19/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 19/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [12:00:00 19/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [12:00:00 19/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [12:00:00 19/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 19/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 19/11/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [12:00:00 19/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [12:00:00 19/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 19/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 19/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 19/11/2009] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Bair Hugger v2: On st: NotStopd t0: [12:00:00 19/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [12:00:00 19/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Comp. Immobile st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [12:00:00 19/11/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 13 u1: number st: NotStopd t0: [12:00:00 19/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [12:00:00 19/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [12:00:00 19/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [12:00:00 19/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [12:00:00 19/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [11:30:00 19/11/2009] tf: [11:31:00 19/11/2009] dt: 1 id: OR Crystalloid OR Intake el: 1 cu: CSRU cg: RN ai: 106 vo: 2200 vu: ml t0: [11:30:00 19/11/2009] tf: [14:00:00 19/11/2009] dt: 150 id: OR Out PACU Urine el: 1 cu: CSRU cg: RN vo: 510 vu: ml t0: [12:00:00 19/11/2009] tf: [16:00:00 19/11/2009] dt: 240 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 14 vu: ml t0: [12:00:00 19/11/2009] tf: [15:00:00 19/11/2009] dt: 180 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 17 vu: ml t0: [12:00:00 19/11/2009] tf: [10:00:00 02/12/2009] dt: 18600 id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml t0: [12:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [11:45:00 19/11/2009] tf: [13:06:00 02/12/2009] dt: 18801 id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:45:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:56:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.8 rs: Final st: NotStopd t0: [12:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [12:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [12:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:15:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:15:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:15:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:15:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:15:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:15:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [12:15:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:15:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [12:15:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:15:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:15:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:15:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [12:15:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:15:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:15:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:15:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd
t0: [11:53:00 19/11/2009] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [11:53:00 19/11/2009] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.8 rs: Final st: NotStopd t0: [11:53:00 19/11/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 28.2 rs: Final st: NotStopd
t0: [12:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [12:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [12:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:30:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:30:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [12:45:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:45:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [12:45:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:45:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:45:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [12:45:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:45:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [12:45:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [12:45:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:45:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [12:45:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [12:45:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:45:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:45:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [13:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 8.89969 vu: ml t0: [13:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.534 vu: ml t0: [13:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml t0: [13:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [13:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [11:53:00 19/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd
t0: [13:15:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:15:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [13:15:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:15:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:15:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:15:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [13:15:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:15:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:15:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:15:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:15:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:15:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:15:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:15:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:15:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:00:00 19/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [13:00:00 19/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.4444 u1: Deg. C st: NotStopd t0: [13:00:00 19/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 97.6 u1: Deg. F st: NotStopd
t0: [13:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 12 u1: mmHg st: NotStopd t0: [13:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [13:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [13:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:30:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:00:00 19/11/2009] id: OR Out PACU Urine el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [13:45:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:45:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [13:45:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:45:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:45:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [13:45:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:45:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [13:45:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [13:45:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:45:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [13:45:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:45:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 19/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 66 u1: BPM st: NotStopd t0: [14:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [14:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [14:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 19/11/2009] tf: [11:00:00 02/12/2009] dt: 18660 id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 19/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [14:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 6.4725 vu: ml t0: [14:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 15.534 vu: ml t0: [14:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [14:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [13:45:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:45:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:06:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 33 u1: mmHg rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 130 u1: mmHg rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 43 u1: % rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [14:06:00 19/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [14:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [14:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:30:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [14:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [14:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [14:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [14:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:30:00 19/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thin st: NotStopd t0: [14:30:00 19/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [14:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:30:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:30:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [14:27:00 19/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [14:27:00 19/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [14:27:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [14:27:00 19/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [14:27:00 19/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:27:00 19/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [14:27:00 19/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [14:27:00 19/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 6.4 u1: L/min st: NotStopd t0: [14:27:00 19/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [14:27:00 19/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [14:27:00 19/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [14:27:00 19/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 18 u1: BPM st: NotStopd t0: [14:27:00 19/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:27:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [14:27:00 19/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 340 u1: ml/B st: NotStopd t0: [14:27:00 19/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [14:27:00 19/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [14:27:00 19/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [15:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [15:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [15:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [15:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [15:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [15:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 1.61812 vu: ml t0: [15:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [15:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [15:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [15:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [13:53:00 19/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd
t0: [15:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [15:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [15:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [15:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [15:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [15:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [15:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:30:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:30:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [15:26:00 19/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [15:26:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [15:26:00 19/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [15:26:00 19/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [15:26:00 19/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [15:26:00 19/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10 u1: L/min st: NotStopd t0: [15:26:00 19/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [15:26:00 19/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:26:00 19/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 21 u1: BPM st: NotStopd t0: [15:26:00 19/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [15:26:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [15:26:00 19/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 350 u1: ml/B st: NotStopd t0: [15:26:00 19/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [15:26:00 19/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [14:06:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 158 rs: Final st: NotStopd t0: [15:00:00 19/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 139 rs: Manual st: NotStopd t0: [16:00:00 19/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 19/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [16:00:00 19/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd
t0: [12:00:00 19/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 19/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 19/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 19/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 19/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [14:00:00 19/11/2009] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Bair Hugger v2: Off st: NotStopd t0: [15:00:00 19/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 19/11/2009] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [16:00:00 19/11/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 19/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [16:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 19/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 19/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 9 u1: points st: NotStopd t0: [16:00:00 19/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 19/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Clear st: NotStopd t0: [16:00:00 19/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [16:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [16:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [16:00:00 19/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 19/11/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 19/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [16:00:00 19/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [16:00:00 19/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [16:00:00 19/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 19/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [16:00:00 19/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 14 gauge st: NotStopd t0: [16:00:00 19/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 19/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 19/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 19/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 19/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 19/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [16:00:00 19/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [16:00:00 19/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 4 Flex-withdraws st: NotStopd t0: [16:00:00 19/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 19/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 19/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [16:00:00 19/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 19/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [16:00:00 19/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 19/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [16:00:00 19/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg st: NotStopd t0: [16:00:00 19/11/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 19/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [16:00:00 19/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [16:00:00 19/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [16:00:00 19/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 19/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 19/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [16:00:00 19/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 19/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 19/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 19/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 19/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [16:00:00 19/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 19/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [16:00:00 19/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 19/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 19/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 19/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [16:00:00 19/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [16:00:00 19/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [16:00:00 19/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [16:00:00 19/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [16:00:00 19/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [16:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [16:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [16:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [16:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [16:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [16:27:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [16:27:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 146 rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 41 u1: % rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd t0: [16:27:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd
t0: [16:48:00 19/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/cmH st: NotStopd t0: [16:48:00 19/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 21cm v2: Lip st: NotStopd t0: [16:48:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.4 u1: torr st: NotStopd t0: [16:48:00 19/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 35 u1: BPM st: NotStopd t0: [16:48:00 19/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 7.5 mm st: NotStopd t0: [16:48:00 19/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:48:00 19/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [16:48:00 19/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [16:48:00 19/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 4 st: NotStopd t0: [16:48:00 19/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 7 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.4 u1: L/min st: NotStopd t0: [16:48:00 19/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 0 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:48:00 19/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [16:48:00 19/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:48:00 19/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:48:00 19/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [16:48:00 19/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:48:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 97 u1: % st: NotStopd t0: [16:48:00 19/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 400 u1: ml/B st: NotStopd t0: [16:48:00 19/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [16:48:00 19/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:48:00 19/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
id: Insulin el: 100 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions am: 100 du: Uhr rt: IV Drip
io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ra: 2 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions vo: 100 du: ml rt: Intravenous Push
t0: [17:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 130 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [17:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg st: NotStopd t0: [17:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [17:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [17:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/11/2009] tf: [20:00:00 19/11/2009] dt: 180 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 6.4725 vu: ml t0: [17:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [17:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [17:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 10 vu: ml
t0: [17:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [17:48:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -3 rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 79 u1: mmHg rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [16:00:00 19/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [16:00:00 19/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [18:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 79 u2: mmHg st: NotStopd t0: [18:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [18:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [18:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [18:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 6.4725 vu: ml t0: [18:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [18:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [18:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [17:00:00 19/11/2009] tf: [13:06:00 02/12/2009] dt: 18486 id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [18:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [18:10:00 19/11/2009] id: Extubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [18:10:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:10:00 19/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: None st: NotStopd t0: [18:10:00 19/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 10 v2: 3 st: NotStopd t0: [18:10:00 19/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RRT v1: Face Tent st: NotStopd t0: [18:10:00 19/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RRT v1: 10 u1: lpm st: NotStopd t0: [18:10:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [18:10:00 19/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RRT v1: Tan v2: Thick st: NotStopd t0: [18:10:00 19/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RRT v1: Suctioned v2: Small st: NotStopd
t0: [17:48:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Final st: NotStopd t0: [17:48:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 4.1 rs: Final st: NotStopd
t0: [18:00:00 19/11/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [18:00:00 19/11/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 19/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [18:00:00 19/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [18:00:00 19/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 19/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 5-Moderate st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Incisional st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [18:00:00 19/11/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Constant st: NotStopd t0: [18:00:00 19/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 19/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 19/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 19/11/2009] id: Untoward Effect el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 19/11/2009] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v1: Blanket v2: On st: NotStopd t0: [19:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 103 u1: BPM st: NotStopd t0: [19:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [19:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [19:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [19:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [19:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [19:00:00 19/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 131 rs: Manual st: NotStopd
t0: [19:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [20:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [20:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [20:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 19/11/2009] tf: [08:00:00 20/11/2009] dt: 900 id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [18:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 6.4725 vu: ml t0: [19:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [19:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [19:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [19:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 20 vu: ml t0: [20:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [20:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [20:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [20:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 19/11/2009] id: Propofol el: 1 cu: CSRU cg: RN so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [20:00:00 19/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 19/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [20:00:00 19/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd
t0: [20:00:00 19/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 19/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 19/11/2009] id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [20:00:00 19/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [20:00:00 19/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 19/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 19/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 19/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 19/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 19/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 19/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 19/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 19/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 19/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 19/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 19/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 19/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 19/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [20:00:00 19/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 19/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 19/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 19/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 19/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 19/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [20:00:00 19/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [20:00:00 19/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [20:00:00 19/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 19/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 19/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [20:00:00 19/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 19/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 19/11/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 19/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 19/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 19/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 19/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 19/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [20:00:00 19/11/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [20:00:00 19/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [20:00:00 19/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [20:00:00 19/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [20:00:00 19/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [20:00:00 19/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd
t0: [17:00:00 19/11/2009] tf: [20:00:00 19/11/2009] dt: 180 id: Lactated Ringers IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 200 vu: ml t0: [17:00:00 19/11/2009] tf: [20:00:00 20/11/2009] dt: 1620 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [18:00:00 19/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [18:00:00 19/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [19:00:00 19/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 19/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 19/11/2009] tf: [11:00:00 02/12/2009] dt: 18180 id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 220 vu: ml t0: [20:00:00 19/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 19/11/2009] tf: [13:06:00 02/12/2009] dt: 18306 id: Gastric Oral Gastric el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [20:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [23:00:00 19/11/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 50 ap: none
t0: [21:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 21 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [21:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [21:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [21:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [21:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [21:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 2 vu: ml t0: [21:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml t0: [21:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [21:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:00:00 19/11/2009] id: Education Learner el: 0 cu: CSRU cg: RN v1: Sig Othr/Family st: NotStopd t0: [14:00:00 19/11/2009] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [14:00:00 19/11/2009] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 19/11/2009] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [14:00:00 19/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Post-Op st: NotStopd t0: [16:00:00 19/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 19/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 19/11/2009] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 19/11/2009] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 19/11/2009] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 19/11/2009] id: Education Response el: 0 cu: CSRU cg: RN v1: Understands st: NotStopd t0: [20:00:00 19/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 19/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/11/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 19/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [20:00:00 19/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [20:00:00 19/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [20:00:00 19/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [20:00:00 19/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [20:00:00 19/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 14 gauge st: NotStopd t0: [20:00:00 19/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 19/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 19/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 157 rs: Manual st: NotStopd
t0: [21:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [22:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 82 u2: mmHg st: NotStopd t0: [22:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [22:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [22:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [22:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 4 vu: ml t0: [22:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [22:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [22:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [22:21:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -4 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 35 u1: mmHg rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 148 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 42 u1: % rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.17 rs: Final st: NotStopd t0: [22:21:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [23:00:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 19/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [23:00:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [23:00:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [23:00:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [23:00:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [23:00:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 19/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [23:00:00 19/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 4 vu: ml
t0: [23:00:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 19/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [23:00:00 19/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 4 cv: 776.476 ap: none
t0: [20:00:00 19/11/2009] tf: [10:00:00 26/11/2009] dt: 9480 id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 60 vu: ml t0: [22:00:00 19/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 180 vu: ml t0: [23:00:00 19/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml t0: [23:00:00 19/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 19/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 19/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -66 cv: -66 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 4 cv: 3216.48 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 240 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 30 cv: 1045 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -66 cv: 1141.48 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 70 cv: 2075 ap: none t0: [23:00:00 19/11/2009] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: RN pv: 40 cv: 470 ap: none t0: [23:00:00 19/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -66 cv: 1141.48 ap: none
t0: [23:30:00 19/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:30:00 19/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [23:30:00 19/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:30:00 19/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 93 u1: BPM st: NotStopd t0: [23:30:00 19/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [23:30:00 19/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [23:30:00 19/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:30:00 19/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [23:30:00 19/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [23:30:00 19/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [23:30:00 19/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [23:37:00 19/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.36 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.28 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.3 rs: Final st: NotStopd t0: [23:37:00 19/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 94 u1: % rs: Final st: NotStopd
t0: [23:30:00 19/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [23:30:00 19/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [23:30:00 19/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [23:37:00 19/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 149 rs: Final st: NotStopd t0: [00:00:00 20/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 20/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [00:00:00 20/11/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [00:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [00:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [00:00:00 20/11/2009] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [00:00:00 20/11/2009] id: Education Handout el: 0 cu: CSRU cg: -1 v1: Not Given st: NotStopd t0: [00:00:00 20/11/2009] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [00:00:00 20/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [00:00:00 20/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 20/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [00:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [00:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [00:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [00:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [00:00:00 20/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 20/11/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 20/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [00:00:00 20/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [00:00:00 20/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [00:00:00 20/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [00:00:00 20/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [00:00:00 20/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [00:00:00 20/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 14 gauge st: NotStopd t0: [00:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [00:00:00 20/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [00:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [00:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [00:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [00:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [00:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [00:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [00:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Atrial Demand st: NotStopd t0: [00:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [00:00:00 20/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: -1 v1: 54 u1: BPM st: NotStopd t0: [00:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [00:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [00:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [00:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [00:00:00 20/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [00:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [00:00:00 20/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [00:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 20/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [00:00:00 20/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [00:00:00 20/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [00:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [00:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [00:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [00:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [00:00:00 20/11/2009] id: Stool Guaiac el: 0 cu: CSRU cg: -1 v1: Not Applicable st: NotStopd t0: [00:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [00:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 20/11/2009] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [00:00:00 20/11/2009] id: Vent Threshold el: 0 cu: CSRU cg: -1 v1: mA st: NotStopd t0: [00:00:00 20/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [00:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 20/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [00:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [00:00:00 20/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [00:00:00 20/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: No Impairment st: NotStopd t0: [00:00:00 20/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [00:00:00 20/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [00:00:00 20/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [00:00:00 20/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [00:00:00 20/11/2009] tf: [09:00:00 20/11/2009] dt: 540 id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 1.61812 vu: ml t0: [00:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 2 vu: ml t0: [00:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [00:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [23:30:00 19/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 2 du: Uhr sv: 100 su: ml rt: IV Drip t0: [00:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 4 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [00:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [00:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100 u1: Deg. F st: NotStopd
t0: [23:39:00 19/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd
t0: [01:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [01:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [01:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [01:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [01:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 106 u1: BPM st: NotStopd t0: [01:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [01:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [01:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [01:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [01:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [01:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [01:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 115 rs: Manual st: NotStopd
t0: [00:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [01:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 3.23625 vu: ml t0: [01:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [01:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 4 vu: ml t0: [01:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml t0: [01:00:00 20/11/2009] tf: [03:00:00 20/11/2009] dt: 120 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [01:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [02:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [02:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [02:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [02:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [02:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [02:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [02:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 6.4725 vu: ml t0: [02:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [02:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [02:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [02:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [01:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip t0: [02:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [02:00:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 97 rs: Manual st: NotStopd
t0: [03:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [03:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [03:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [03:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [03:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [03:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [03:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [03:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 3.23625 vu: ml t0: [03:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [03:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [03:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [03:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [02:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [03:15:00 20/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 70 u1: mmHg rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 93 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.29 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [03:10:00 20/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.8 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 37.1 u1: % rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 12.7 u1: gm/dl rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 121 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.94 u1: /mic l rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 16.8 rs: Final st: NotStopd t0: [03:15:00 20/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 16.5543 u1: ml/dl st: NotStopd
t0: [03:10:00 20/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 21 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 108 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 91 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 5.2 rs: Final st: NotStopd t0: [03:10:00 20/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [03:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [03:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [03:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [03:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Level el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Pt Verbalized st: NotStopd t0: [04:00:00 20/11/2009] id: PainLevel Acceptable el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [04:00:00 20/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [04:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [04:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: Atrial Bigeminy st: NotStopd t0: [04:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.7 u1: torr st: NotStopd t0: [04:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [04:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [04:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [04:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [04:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [04:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [04:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [04:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [04:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [04:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [04:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Cause el: 0 cu: CSRU cg: -1 v1: Activity st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: -1 v1: 3-Mild to Mod st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Incisional st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Management el: 1 cu: CSRU cg: -1 v1: IV Push v2: Repositioned st: NotStopd t0: [04:00:00 20/11/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: Aching st: NotStopd t0: [04:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [04:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [04:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [04:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [04:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [04:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [04:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [04:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [04:00:00 20/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 v1: Serosanguinous st: NotStopd t0: [04:00:00 20/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 v1: Dry and Intact st: NotStopd t0: [04:00:00 20/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 v1: Positive v2: Negative st: NotStopd t0: [04:00:00 20/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 v1: 20 cm st: NotStopd
t0: [04:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 3.23625 vu: ml t0: [04:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [04:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [04:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 25 vu: ml t0: [04:00:00 20/11/2009] tf: [06:00:00 20/11/2009] dt: 120 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [04:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [04:00:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 95 rs: Manual st: NotStopd
t0: [04:00:00 20/11/2009] id: Education Barrier el: 0 cu: CSRU cg: -1 v1: Medicated st: NotStopd t0: [04:00:00 20/11/2009] id: Education Handout el: 0 cu: CSRU cg: -1 v1: Not Given st: NotStopd t0: [04:00:00 20/11/2009] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Patient st: NotStopd t0: [04:00:00 20/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [04:00:00 20/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 20/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [04:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [04:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: Sanguinous v2: Scant st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: Sanguinous v2: Scant st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [04:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Changed st: NotStopd t0: [04:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [04:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [04:00:00 20/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [04:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 20/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Side to Side st: NotStopd t0: [05:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [05:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [05:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [05:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [05:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [05:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [05:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [05:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [05:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [05:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 69 u2: mmHg st: NotStopd t0: [05:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [05:00:00 20/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [05:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [05:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [05:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [05:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [05:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 3.23625 vu: ml t0: [05:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [05:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [05:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 20 vu: ml t0: [05:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [05:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [00:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 120 vu: ml t0: [04:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 120 vu: ml t0: [05:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 120 vu: ml
t0: [05:00:00 20/11/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [05:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [05:00:00 20/11/2009] id: BSA - English el: 0 cu: CSRU cg: -1 v1: 1.40604 u1: m2 st: NotStopd t0: [05:00:00 20/11/2009] id: BSA - Metric el: 0 cu: CSRU cg: -1 v1: 1.63728 u1: m2 st: NotStopd t0: [05:00:00 20/11/2009] id: Weight Change el: 0 cu: CSRU cg: -1 v1: 0 u1: kg st: NotStopd t0: [05:00:00 20/11/2009] id: Daily Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd
t0: [06:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 10 u1: mmHg st: NotStopd t0: [06:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [06:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [06:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 105 u1: BPM st: NotStopd t0: [06:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [06:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [06:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [06:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [06:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [06:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [06:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 6.4725 vu: ml t0: [06:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [06:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [06:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [06:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [06:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [05:00:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 91 rs: Manual st: NotStopd t0: [07:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 17 u1: mmHg st: NotStopd t0: [07:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [07:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [07:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [07:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [07:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [07:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [07:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [07:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [07:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [07:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [07:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 82 rs: Manual st: NotStopd
t0: [07:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 120 vu: ml t0: [07:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 6.4725 vu: ml t0: [07:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [07:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 3 vu: ml t0: [07:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 10 vu: ml t0: [07:00:00 20/11/2009] tf: [11:00:00 20/11/2009] dt: 240 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 20 vu: ml
t0: [07:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 3 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [08:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [08:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [08:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [08:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [08:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [08:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [08:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [08:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.7 u1: torr st: NotStopd t0: [08:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [08:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd
t0: [08:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 6.4725 vu: ml t0: [08:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [08:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [08:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [08:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 20/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:00:00 20/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [08:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [08:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [08:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:30:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:30:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [08:30:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:30:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [08:30:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [08:30:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [08:30:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [08:30:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:30:00 20/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [08:30:00 20/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:30:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [08:30:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:30:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [08:30:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [08:30:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [08:30:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [08:30:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:30:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [08:30:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [08:30:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [08:30:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:30:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 20/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [09:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 19 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [09:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [09:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [09:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [09:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 20/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [09:00:00 20/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74.3333 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [09:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [09:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [09:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 4 u1: lpm st: NotStopd t0: [09:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 92 u2: mmHg st: NotStopd t0: [09:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg st: NotStopd t0: [09:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [09:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [09:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [09:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 154 vo: 0 vu: ml t0: [09:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [09:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [09:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [09:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:00:00 20/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 20/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:00:00 20/11/2009] id: D5W 250.0ml + 100mcgkgmin Nitroglycerine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 154 vo: 0 st: D/C'd t0: [10:00:00 20/11/2009] id: .9% Normal Saline 100.0ml + 100Uhr Insulin IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
t0: [08:00:00 20/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [08:00:00 20/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 20/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 20/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [08:00:00 20/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [08:00:00 20/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [08:00:00 20/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [08:00:00 20/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 22 st: NotStopd t0: [08:00:00 20/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 14 gauge st: NotStopd t0: [08:00:00 20/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [08:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [08:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 20/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [08:00:00 20/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [08:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [08:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 20/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 0 v2: 2 st: NotStopd t0: [08:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [08:00:00 20/11/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [08:00:00 20/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [08:00:00 20/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: RN v1: Serosanguinous st: NotStopd t0: [08:00:00 20/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: RN v1: Dry and Intact st: NotStopd t0: [08:00:00 20/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: RN v1: Positive v2: Negative st: NotStopd t0: [08:00:00 20/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: RN v1: 20 cm st: NotStopd t0: [09:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [09:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [09:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [09:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [09:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [10:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [10:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [10:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [10:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [10:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 20/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 20/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [10:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Face Tent st: NotStopd t0: [10:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 10 u1: lpm st: NotStopd t0: [10:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [10:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [10:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [10:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 100 vu: ml t0: [09:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 200 vu: ml t0: [10:00:00 20/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [10:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [10:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [10:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [10:00:00 20/11/2009] id: Nitroglycerine-k el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 20/11/2009] id: Insulin el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: Uhr sv: 100 su: ml rt: IV Drip
t0: [10:15:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 126 rs: Manual st: NotStopd
t0: [09:00:00 20/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [09:00:00 20/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [10:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd
t0: [11:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Frequent st: NotStopd t0: [11:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [11:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [11:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [11:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [11:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [11:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [11:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 20/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: None st: NotStopd t0: [11:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [11:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml t0: [11:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 vu: ml
t0: [12:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 20/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 19 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [12:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [12:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [12:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [12:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [12:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [12:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [12:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [12:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [12:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [12:00:00 20/11/2009] tf: [13:00:00 20/11/2009] dt: 60 id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 10 vu: ml
t0: [23:00:00 20/11/2009] dt: 24 id: Chest Tube Out Total el: 3 cu: CSRU cg: -1 cv: 220 ap: none
t0: [12:30:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: CS 106 rs: Manual st: NotStopd
t0: [13:00:00 20/11/2009] id: Chest Tubes CTICU CT 1 el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [12:00:00 20/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [12:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Ambulate st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [12:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [12:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [12:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 20/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 20/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 20/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 20/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [13:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [13:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [13:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [13:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [13:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [13:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [13:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [13:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [13:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [13:00:00 20/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: None st: NotStopd t0: [13:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [13:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.0556 u1: Deg. C st: NotStopd t0: [13:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.7 u1: Deg. F st: NotStopd t0: [13:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [13:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [14:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [14:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [14:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [14:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [14:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [14:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [14:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [15:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [15:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [15:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [15:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [15:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [15:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [15:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [15:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [12:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd
t0: [15:53:00 20/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [15:53:00 20/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.7 rs: Final st: NotStopd t0: [15:53:00 20/11/2009] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [15:53:00 20/11/2009] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [15:53:00 20/11/2009] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.37 u1: pH rs: Final st: NotStopd
t0: [16:00:00 20/11/2009] id: Chest Tube Site #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 20/11/2009] id: CT #1 Drainage el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 20/11/2009] id: CT #1 Dressing el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 20/11/2009] id: CT #1 Fluctuate/Leak el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 20/11/2009] id: CT #1 Suction Amount el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [15:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [15:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [15:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [15:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [15:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd
t0: [16:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 20/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [16:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [16:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [16:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 20/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [16:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 20/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [16:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [16:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [16:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [16:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [16:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [16:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [16:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 20/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 20/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [13:00:00 20/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 240 vu: ml t0: [16:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [16:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [23:00:00 20/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 1020 ap: none
t0: [15:53:00 20/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd
t0: [17:00:00 20/11/2009] id: INV#1Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV Line#1SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: INV#1 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [17:00:00 20/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [17:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [17:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [17:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [17:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [17:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [17:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [17:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [17:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [17:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [16:00:00 20/11/2009] id: INV Line#1 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#1 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#1InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 20/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 20/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 20/11/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 14 gauge st: NotStopd t0: [16:00:00 20/11/2009] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 22 gauge st: NotStopd t0: [16:00:00 20/11/2009] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 22 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 14 gauge st: NotStopd
t0: [16:00:00 20/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [16:00:00 20/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [16:00:00 20/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd
t0: [16:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [16:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [18:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [18:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [18:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [18:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [18:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [18:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [18:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [18:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [18:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [18:30:00 20/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 104 rs: Manual st: NotStopd
t0: [19:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [19:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [19:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [19:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [19:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [19:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [19:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [19:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [20:00:00 20/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [20:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [20:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [20:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [20:00:00 20/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [20:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [20:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [20:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [20:00:00 20/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 20/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 20/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [20:00:00 20/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [20:00:00 20/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [20:00:00 20/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [20:00:00 20/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 20/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 20/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 20/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [20:00:00 20/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [20:00:00 20/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [20:00:00 20/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [20:00:00 20/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 20/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [20:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [20:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 20/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [20:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [20:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [20:00:00 20/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [20:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [20:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [20:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 20/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [20:00:00 20/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [20:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [20:00:00 20/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [20:00:00 20/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [20:00:00 20/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [20:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [20:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 20/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [20:00:00 20/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [20:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [20:00:00 20/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [20:00:00 20/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [20:00:00 20/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [20:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [20:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [20:00:00 20/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [20:00:00 20/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [21:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [21:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [21:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [21:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [21:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [21:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Ambulate st: NotStopd t0: [21:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [21:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [21:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [21:00:00 20/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [21:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg st: NotStopd t0: [21:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [21:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [21:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [21:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [21:00:00 20/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [21:00:00 20/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [21:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [20:00:00 20/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 0 vu: ml st: Stopped t0: [20:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [21:00:00 20/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 250 vu: ml t0: [21:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [23:00:00 20/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 cv: 714.453 ap: none t0: [23:00:00 20/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: -1 cv: 1734.45 ap: none
t0: [21:00:00 20/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [21:00:00 20/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37 u1: Deg. C st: NotStopd t0: [21:00:00 20/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.6 u1: Deg. F st: NotStopd t0: [22:00:00 20/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [22:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 20/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [22:00:00 20/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 20/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [22:00:00 20/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [22:00:00 20/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [22:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [22:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [22:00:00 20/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [22:00:00 20/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [22:00:00 20/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [22:00:00 20/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 20/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [22:00:00 20/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [22:00:00 20/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [22:00:00 20/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [22:00:00 20/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [22:00:00 20/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [22:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 20/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [22:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [22:00:00 20/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [22:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 20/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [22:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [22:00:00 20/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [22:00:00 20/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [22:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [22:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 20/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [22:00:00 20/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [22:00:00 20/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [22:00:00 20/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [22:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 20/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 280 vu: ml
t0: [23:00:00 20/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 20/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: -1 cv: 0 ap: none t0: [23:00:00 20/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: -1 cv: 1075 ap: none t0: [23:00:00 20/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: -1 cv: 439.453 ap: none t0: [23:00:00 20/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: -1 cv: 1295 ap: none t0: [23:00:00 20/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: -1 cv: 1580.93 ap: none
id: Amiodarone el: 100 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions am: 600 du: mgmin rt: IV Drip
io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ra: 12.5 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 600mgmin Amiodarone IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [23:10:00 20/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: mg/dl rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 129 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.2 u1: mEq/L rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [23:10:00 20/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [23:00:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:00:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:00:00 20/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [23:00:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:00:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [23:00:00 20/11/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: EKG st: NotStopd t0: [23:00:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:00:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 91 u1: % st: NotStopd t0: [23:00:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [23:30:00 20/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [23:30:00 20/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [23:30:00 20/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [23:30:00 20/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 71.3333 u1: mmHg st: NotStopd t0: [23:30:00 20/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [23:30:00 20/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [23:30:00 20/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [23:30:00 20/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [23:30:00 20/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [23:30:00 20/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [23:30:00 20/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [00:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [00:00:00 21/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [00:00:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [00:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [00:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [00:00:00 21/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [00:00:00 21/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [00:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [00:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [00:00:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [00:00:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [00:00:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [00:00:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 21/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [00:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [00:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [00:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [00:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [00:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [00:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [00:00:00 21/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [00:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [00:00:00 21/11/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [00:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [00:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [00:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [00:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [00:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [00:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [00:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 21/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Light Yellow v2: Clear st: NotStopd t0: [00:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [00:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [00:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [00:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [00:00:00 21/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [23:30:00 20/11/2009] tf: [09:00:00 22/11/2009] dt: 2010 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 50 vu: ml t0: [00:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 380 vu: ml
t0: [23:30:00 20/11/2009] tf: [11:00:00 21/11/2009] dt: 690 id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [22:00:00 20/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [23:00:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 111 u1: BPM st: NotStopd t0: [23:30:00 20/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 152 u1: BPM st: NotStopd t0: [00:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [00:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [00:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [00:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [00:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [00:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [00:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [00:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [00:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [00:00:00 21/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [00:45:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [00:45:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [00:45:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [01:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [01:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [01:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [01:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [01:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [01:00:00 21/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [01:00:00 21/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [01:00:00 21/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 5 st: NotStopd t0: [01:00:00 21/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [01:00:00 21/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [01:00:00 21/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [01:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [01:00:00 21/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [01:00:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [01:00:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 76 u2: mmHg st: NotStopd t0: [01:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [01:00:00 21/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [01:00:00 21/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [01:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [01:00:00 21/11/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [01:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [01:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [01:00:00 21/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [01:00:00 21/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [01:00:00 21/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [01:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [02:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [02:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [02:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [02:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [02:00:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [02:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [02:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 143 u1: BPM st: NotStopd t0: [02:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [02:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [02:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [02:00:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [02:00:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [02:00:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [02:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [02:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [02:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [02:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [02:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [02:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [02:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [02:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [02:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [02:00:00 21/11/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [02:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [02:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [02:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [02:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [02:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [02:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [02:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [02:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [02:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [03:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Atrial Fib st: NotStopd t0: [03:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [03:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [03:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [03:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [03:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [03:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [01:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [01:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml t0: [02:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [02:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml t0: [03:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [03:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [01:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [05:41:00 21/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 28 u1: mmHg rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd
t0: [05:41:00 21/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 116 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.04 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.6 rs: Final st: NotStopd t0: [05:41:00 21/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
id: Esmolol el: 100 cu: CSRU cg: -1 io: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions am: 2500 du: mcgkgmin rt: IV Drip
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions vo: 250 du: ml rt: Intravenous Push id: .9% Normal Saline el: 1 cu: CSRU cg: -1 io: .9% Normal Saline 1000.0ml IV Infusions vo: 1000 du: ml rt: Intravenous Push
t0: [03:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 121 u1: BPM st: NotStopd t0: [03:30:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [03:30:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [03:30:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 120 u1: BPM st: NotStopd t0: [03:30:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [03:30:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [03:30:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [03:30:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [03:30:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [03:30:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [03:30:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [04:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [04:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [04:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [04:00:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [04:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [04:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [04:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [04:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 21/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 21/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [04:00:00 21/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 5 st: NotStopd t0: [04:00:00 21/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 21/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [04:00:00 21/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [04:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [04:00:00 21/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [04:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [04:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [04:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [04:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [04:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [04:00:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [04:00:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [04:00:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [04:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [04:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [04:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [04:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [04:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [04:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [04:00:00 21/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 21/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [04:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [04:00:00 21/11/2009] id: Previous Weight el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [04:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [04:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [04:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [04:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [04:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [04:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [04:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [04:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [04:00:00 21/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [04:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [04:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [04:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [04:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [04:00:00 21/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [05:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [05:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [05:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [05:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [05:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [05:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 107 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [05:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [05:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [05:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [05:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [05:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [05:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [06:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [06:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [06:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [06:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [06:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [06:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [06:00:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.4 u1: torr st: NotStopd t0: [06:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [06:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [06:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [06:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [06:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Face Tent st: NotStopd t0: [06:00:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [06:00:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 10 u1: lpm st: NotStopd t0: [06:00:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [06:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [06:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [06:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [06:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [06:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 90 u2: mmHg st: NotStopd t0: [06:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [06:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [06:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [06:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [06:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [06:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [06:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [06:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [06:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [06:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [06:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [06:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [06:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 21/11/2009] tf: [12:00:00 21/11/2009] dt: 480 id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml nb: 1 t0: [04:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [04:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25.9 vu: ml t0: [04:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [05:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [05:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25.9 vu: ml t0: [05:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [06:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [06:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25.9 vu: ml t0: [06:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml
t0: [03:30:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [01:00:00 21/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [01:00:00 21/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.3333 u1: Deg. C st: NotStopd t0: [01:00:00 21/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.2 u1: Deg. F st: NotStopd t0: [05:00:00 21/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [05:00:00 21/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.6667 u1: Deg. C st: NotStopd t0: [05:00:00 21/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.8 u1: Deg. F st: NotStopd t0: [07:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [07:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 88 u2: mmHg st: NotStopd t0: [07:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg st: NotStopd t0: [07:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [07:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [07:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [07:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [03:00:00 21/11/2009] tf: [07:00:00 23/11/2009] dt: 3120 id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [04:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [05:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [06:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml
t0: [04:00:00 21/11/2009] tf: [11:00:00 21/11/2009] dt: 420 id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 21/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [05:00:00 21/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.7 u1: % rs: Final st: NotStopd t0: [05:00:00 21/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 21/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 21/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd
t0: [05:15:00 21/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: mg/dl rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 20 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [05:15:00 21/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [08:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 21/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [08:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [08:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 21/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 21/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 21/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 21/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 21/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 5 st: NotStopd t0: [08:00:00 21/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 21/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 4 st: NotStopd t0: [08:00:00 21/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [08:00:00 21/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [08:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [08:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [08:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [08:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [08:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [08:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [08:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [08:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [08:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [08:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [08:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [08:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 21/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.9444 u1: Deg. C st: NotStopd t0: [08:00:00 21/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100.3 u1: Deg. F st: NotStopd t0: [08:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [08:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 50 vu: ml t0: [08:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 51.78 vu: ml t0: [08:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [08:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:15:00 21/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 u1: mEq/L rs: Final st: NotStopd
t0: [09:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [09:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [09:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [09:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [09:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg st: NotStopd t0: [09:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [09:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [09:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 90 u1: % st: NotStopd t0: [09:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [09:00:00 21/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 240 vu: ml t0: [09:00:00 21/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [09:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [09:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [09:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25.89 vu: ml t0: [09:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [09:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 50 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [05:00:00 21/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 92 rs: Final st: NotStopd
t0: [10:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [10:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [10:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [10:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [10:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [10:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [10:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 21/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 20 vu: ml t0: [10:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [10:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 25.89 vu: ml t0: [10:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [10:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 75 u1: BPM st: NotStopd t0: [11:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [11:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [11:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [11:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [11:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [11:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 12.945 vu: ml t0: [11:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 90 vu: ml
t0: [11:00:00 21/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip st: Stopped t0: [11:00:00 21/11/2009] id: Esmolol el: 1 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip st: Stopped
t0: [08:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 90 degrees st: NotStopd t0: [08:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [12:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 21/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [12:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [12:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 21/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [12:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [12:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [12:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [12:00:00 21/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 21/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: Independent st: NotStopd t0: [12:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [12:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [12:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [12:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [12:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 21/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.5556 u1: Deg. C st: NotStopd t0: [12:00:00 21/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.6 u1: Deg. F st: NotStopd t0: [12:00:00 21/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [12:00:00 21/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [12:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 21/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 240 vu: ml t0: [12:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [12:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [12:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [12:05:00 21/11/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: mg/dl rs: Final st: NotStopd t0: [12:05:00 21/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [12:05:00 21/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd
t0: [12:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [13:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [13:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [13:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [13:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [13:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [13:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 500 vu: ml
t0: [14:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 72 u1: BPM st: NotStopd t0: [14:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [14:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [14:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [14:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [14:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 21/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [14:00:00 21/11/2009] id: D5W 250.0ml + 2500mcgkgmin Esmolol IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [14:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [23:00:00 21/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: -1 cv: 909.205 ap: none
t0: [15:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [15:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 141 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [15:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [15:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [15:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [15:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [15:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [15:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [16:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Cough/DeepBreath st: NotStopd t0: [16:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [16:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: Ace Wrap v2: Intact st: NotStopd t0: [16:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [16:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [16:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [16:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 77 u2: mmHg st: NotStopd t0: [16:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg st: NotStopd t0: [16:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [16:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [16:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 8 v2: 0.4 st: NotStopd t0: [16:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Impaired st: NotStopd t0: [16:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [16:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 21/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.7222 u1: Deg. C st: NotStopd t0: [16:00:00 21/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.9 u1: Deg. F st: NotStopd t0: [16:00:00 21/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 0 v2: 2 st: NotStopd t0: [16:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [17:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [17:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 142 u1: mmHg v2: 78 u2: mmHg st: NotStopd t0: [17:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg st: NotStopd t0: [17:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [17:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [17:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [17:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 210 vu: ml
t0: [18:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [18:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [18:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 142 u1: mmHg v2: 89 u2: mmHg st: NotStopd t0: [18:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 109 u1: mmHg st: NotStopd t0: [18:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [18:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [18:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 90 u1: % st: NotStopd t0: [18:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 101 u1: BPM st: NotStopd t0: [19:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 120 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [19:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg st: NotStopd t0: [19:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: -1 v1: 94.9 u1: kg st: NotStopd t0: [19:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [19:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [19:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 21/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 240 vu: ml t0: [18:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml t0: [19:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [20:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 21/11/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 21/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [20:00:00 21/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [20:00:00 21/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [20:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 21/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 21/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 21/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 21/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 21/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 5 st: NotStopd t0: [20:00:00 21/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 21/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 4 st: NotStopd t0: [20:00:00 21/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [20:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 21/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 21/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 21/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 21/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 21/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [20:00:00 21/11/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 21/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 21/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 21/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 21/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [20:00:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [20:00:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [20:00:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [20:00:00 21/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 21/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 21/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 21/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 21/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 21/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [20:00:00 21/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [20:00:00 21/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [20:00:00 21/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 21/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [20:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [20:00:00 21/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [20:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 21/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 21/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [20:00:00 21/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 21/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 21/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Light Yellow v2: Clear st: NotStopd t0: [20:00:00 21/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 21/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 0 v2: 2 st: NotStopd t0: [20:00:00 21/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 21/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [20:00:00 21/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 500 vu: ml
t0: [20:33:00 21/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [20:33:00 21/11/2009] id: Venous PvCO2 VBG's el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [20:33:00 21/11/2009] id: Venous PvO2 Mixed Venous Gases el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [20:33:00 21/11/2009] id: Venous pH VBG's el: 0 cu: CSRU cg: 3161 v1: 7.43 u1: pH rs: Final st: NotStopd
t0: [20:30:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:30:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:30:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:30:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 104 u1: BPM st: NotStopd t0: [20:30:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [20:30:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [20:30:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 78.6667 u1: mmHg st: NotStopd t0: [20:30:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:30:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:30:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:30:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [20:30:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [20:30:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [20:30:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [21:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [21:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [21:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [21:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [21:30:00 21/11/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:30:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Left Chest st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: PO Med st: NotStopd t0: [21:30:00 21/11/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Aching st: NotStopd
t0: [20:00:00 21/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: RN ai: 103 vo: 150 vu: ml
t0: [23:00:00 21/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1779.2 ap: none t0: [23:00:00 21/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 870 ap: none
t0: [20:30:00 21/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [20:30:00 21/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd
t0: [22:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 90 vu: ml
t0: [22:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [22:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 21/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 21/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 21/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [22:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [22:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [22:00:00 21/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 21/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [22:00:00 21/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [22:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 37 u1: BPM st: NotStopd t0: [22:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 89 u1: % st: NotStopd t0: [22:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:15:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [22:15:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [22:15:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [22:15:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:15:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:15:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [22:15:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:15:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [22:15:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [22:15:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [22:15:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:30:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:30:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:30:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [22:30:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 133 u1: BPM st: NotStopd t0: [22:30:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:30:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:30:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Hi Flow Neb st: NotStopd t0: [22:30:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [22:30:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:30:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [22:30:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [22:30:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:30:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [22:30:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [22:30:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [22:30:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:45:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:45:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:45:00 21/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 1 u1: torr st: NotStopd t0: [22:45:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 116 u1: BPM st: NotStopd t0: [22:45:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [22:45:00 21/11/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [22:45:00 21/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: RN v1: Non-Rebreather st: NotStopd t0: [22:45:00 21/11/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 6 u1: lpm st: NotStopd t0: [22:45:00 21/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: RN v1: 15 u1: lpm st: NotStopd t0: [22:45:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [22:45:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:45:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:45:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [22:45:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [22:45:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [22:45:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 21/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [23:00:00 21/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 280 cv: 280 ap: none t0: [23:00:00 21/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -280 cv: -280 ap: none t0: [23:00:00 21/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 280 cv: 3225 ap: none t0: [23:00:00 21/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -280 cv: -1445.79 ap: none t0: [23:00:00 21/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 280 cv: 3225 ap: none t0: [23:00:00 21/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -280 cv: 135.134 ap: none
t0: [22:55:00 21/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.1922 u1: ml/dl st: NotStopd t0: [22:55:00 21/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 54 u1: mmHg rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [22:55:00 21/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 90 u1: % rs: Final st: NotStopd
t0: [23:00:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 136 u1: BPM st: NotStopd t0: [23:00:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Atrial Fib st: NotStopd t0: [23:00:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [23:00:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [23:00:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:00:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [23:00:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 84 u1: % st: NotStopd t0: [23:00:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:15:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:15:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:15:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [23:15:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [23:15:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 124 u1: BPM st: NotStopd t0: [23:15:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:15:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [23:15:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60.3333 u1: mmHg st: NotStopd t0: [23:15:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:15:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [23:15:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:15:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:15:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:15:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 81 u1: % st: NotStopd t0: [23:15:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:20:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:20:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:20:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 117 u1: BPM st: NotStopd t0: [23:20:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:20:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [23:20:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [23:20:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 34 u2: mmHg st: NotStopd t0: [23:20:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [23:20:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:20:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:20:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:20:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 84 u1: % st: NotStopd t0: [23:20:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:25:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:25:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:25:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 113 u1: BPM st: NotStopd t0: [23:25:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:25:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [23:25:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 27.6667 u1: mmHg st: NotStopd t0: [23:25:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 0 u1: mmHg v2: 0 u2: mmHg st: NotStopd t0: [23:25:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [23:25:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:25:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:25:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [23:25:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [23:25:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:30:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:30:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:30:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:30:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:30:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:30:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 175 u1: mmHg v2: 80 u2: mmHg st: NotStopd t0: [23:30:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 111.667 u1: mmHg st: NotStopd t0: [23:30:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 197 u1: mmHg v2: 97 u2: mmHg st: NotStopd t0: [23:30:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg st: NotStopd t0: [23:30:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:30:00 21/11/2009] id: Previous Weight el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:30:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:30:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:30:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [23:30:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:35:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:35:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:35:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:35:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:35:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 114 u1: BPM st: NotStopd t0: [23:35:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:35:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 170 u1: mmHg v2: 81 u2: mmHg st: NotStopd t0: [23:35:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 110.667 u1: mmHg st: NotStopd t0: [23:35:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 158 u1: mmHg v2: 85 u2: mmHg st: NotStopd t0: [23:35:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg st: NotStopd t0: [23:35:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:35:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:35:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [23:35:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [23:35:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [23:40:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:40:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:40:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:40:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:40:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 100 u1: BPM st: NotStopd t0: [23:40:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [23:40:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [23:40:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [23:40:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [23:40:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:40:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:40:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:40:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:40:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [23:40:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:30:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:30:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:30:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:30:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:30:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:30:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [21:30:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:30:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:30:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [21:30:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 33 u1: BPM st: NotStopd t0: [21:30:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [21:30:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 25.9259 u1: ml/cmH st: NotStopd t0: [00:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 1 u1: torr st: NotStopd t0: [00:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 22/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [00:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 8 st: NotStopd t0: [00:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 19.5 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.5 u1: L/min st: NotStopd t0: [00:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [00:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 22/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [00:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
id: Neosynephrine-k el: 200 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions am: 60 du: mcgkgmin rt: IV Drip id: Propofol el: 200 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions am: 500 du: mcgkgmin rt: IV Drip
io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ra: 15.534 ru: ml/hr
id: D5W el: 2 cu: CSRU cg: RN io: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: N/A el: 2 cu: CSRU cg: RN io: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions vo: 50 du: vl rt: Intravenous Push
t0: [23:30:00 21/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 0 vu: ml nb: 1 t0: [23:45:00 21/11/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 113 vo: 0 vu: ml nb: 1 t0: [00:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:45:00 21/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:45:00 21/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:45:00 21/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:45:00 21/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:45:00 21/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:45:00 21/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:45:00 21/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [23:45:00 21/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [23:45:00 21/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [23:45:00 21/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 52 u1: mmHg st: NotStopd t0: [23:45:00 21/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:45:00 21/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [23:45:00 21/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [23:45:00 21/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [23:45:00 21/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [00:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.3333 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [00:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:30:00 21/11/2009] tf: [13:06:00 02/12/2009] dt: 15216 id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:45:00 21/11/2009] tf: [13:06:00 02/12/2009] dt: 15201 id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:45:00 21/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 20 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [00:12:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [00:12:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [00:12:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [00:12:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [00:12:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 64 u1: mmHg rs: Final st: NotStopd t0: [00:12:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd
t0: [00:12:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.9468 u1: ml/dl st: NotStopd t0: [00:12:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [01:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.41262 u1: ... st: NotStopd t0: [01:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [01:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: RN v1: 3.58238 u1: kg x m st: NotStopd t0: [01:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: RN v1: 1.74757 u1: ... st: NotStopd t0: [01:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: RN v1: 46.1312 u1: g * m st: NotStopd t0: [01:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: RN v1: 22.3301 u1: g*m/m2 st: NotStopd t0: [01:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [01:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [01:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: RN v1: 31.068 u1: ... st: NotStopd t0: [01:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: RN v1: 627.767 u1: ... st: NotStopd t0: [01:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: RN v1: 1294.61 u1: ... st: NotStopd t0: [01:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 63.7179 u1: ml st: NotStopd t0: [01:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [01:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [01:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.97 u1: L/min st: NotStopd
t0: [01:00:00 22/11/2009] tf: [10:00:00 23/11/2009] dt: 1980 id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 20.712 vu: ml t0: [01:00:00 22/11/2009] tf: [11:00:00 02/12/2009] dt: 15000 id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 15126 id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 113 vo: 53.9375 vu: ml t0: [01:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [01:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 30 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [01:23:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.1194 u1: ml/dl st: NotStopd t0: [01:23:00 22/11/2009] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 695.8 u1: ml/min st: NotStopd t0: [01:23:00 22/11/2009] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 337.864 u1: ml/m/m st: NotStopd t0: [01:23:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 73 u1: mmHg rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [01:23:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [01:25:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.5 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.8 u1: gm/dl rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.3 u1: /mic l rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.5 rs: Final st: NotStopd
io: Carrier IV Infusions el: 1 cu: CSRU cg: RN ra: 10 ru: ml/hr
id: D5W el: 2 cu: CSRU cg: RN io: D5W 100.0ml IV Infusions vo: 100 du: ml rt: Intravenous Push id: Carrier el: 1 cu: CSRU cg: RN io: Carrier IV Infusions du: ml rt: Intravenous Push
t0: [01:25:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:25:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [01:25:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:25:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:25:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [01:25:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:25:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:25:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 81.6667 u1: mmHg st: NotStopd t0: [01:25:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [01:25:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [01:25:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:25:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [01:25:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [01:25:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [01:25:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [01:25:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [01:25:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:45:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:45:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [01:45:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:45:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:45:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:45:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:45:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:45:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 75 u2: mmHg st: NotStopd t0: [01:45:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [01:45:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:45:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [01:45:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [01:45:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [01:45:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:45:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.7 u1: Deg. C st: NotStopd t0: [01:45:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.66 u1: Deg. F st: NotStopd t0: [01:45:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:50:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:50:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [01:50:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:50:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:50:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:50:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [01:50:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:50:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [01:50:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [01:50:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:50:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [01:50:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:50:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [01:50:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [01:50:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [01:50:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Frequent st: NotStopd t0: [02:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [02:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [02:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [02:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [02:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [02:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [02:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [02:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [02:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:25:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 2 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:25:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 40 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:45:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:45:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:50:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:50:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [23:00:00 21/11/2009] id: Significant Events el: 0 cu: CSRU cg: RN v1: Intubated st: NotStopd t0: [00:00:00 22/11/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd t0: [01:00:00 22/11/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd t0: [02:00:00 22/11/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: EKG st: NotStopd t0: [02:00:00 22/11/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [22:00:00 21/11/2009] id: Pain Level el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [22:00:00 21/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Cause el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Level (Rest) el: 0 cu: CSRU cg: RN v1: 4-Mild to Mod st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Left Chest st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Management el: 1 cu: CSRU cg: RN v1: IV Push st: NotStopd t0: [22:00:00 21/11/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [01:25:00 22/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 260 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [01:23:00 22/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 0.88 rs: Final st: NotStopd
t0: [02:26:00 22/11/2009] id: BSA el: 1033 cu: CSRU cg: -1 v1: 2.05688 u1: m2 t0: [02:26:00 22/11/2009] id: Admit Wt el: 1032 cu: CSRU cg: -1 v1: 86.3 u1: kg t0: [02:26:00 22/11/2009] id: Allergy 1 el: 1020 cu: CSRU cg: -1 v1: NKDA t0: [02:26:00 22/11/2009] id: Diagnosis/op el: 1023 cu: CSRU cg: -1 v1: CORONARY ARTERY DISEASE CATH t0: [02:26:00 22/11/2009] id: Service el: 1026 cu: CSRU cg: -1 v1: CSU t0: [02:26:00 22/11/2009] id: Admit Ht el: 1034 cu: CSRU cg: -1 v1: 67 u1: inches t0: [02:26:00 22/11/2009] id: Readmission el: 1014 cu: CSRU cg: -1 t0: [02:26:00 22/11/2009] id: Marital Status el: 1006 cu: CSRU cg: -1 v1: M t0: [02:26:00 22/11/2009] id: Religion el: 1000 cu: CSRU cg: -1 v1: RCA t0: [02:26:00 22/11/2009] id: Allergy 2 el: 1021 cu: CSRU cg: -1 t0: [02:26:00 22/11/2009] id: Ext el: 1010 cu: CSRU cg: -1 t0: [02:26:00 22/11/2009] id: PIN el: 1012 cu: CSRU cg: -1 t0: [02:26:00 22/11/2009] id: Allergy 3 el: 1022 cu: CSRU cg: -1
t0: [02:00:00 22/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 19.849 vu: ml t0: [02:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 22/11/2009] id: D5W 250.0ml + 60mcgkgmin Neosynephrine-k IV Infusions el: 2 cu: CSRU cg: RN ai: 113 vo: 41.8016 vu: ml t0: [02:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [22:00:00 21/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 21/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 21/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [22:00:00 21/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 21/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 21/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [00:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 22/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [00:00:00 22/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 22/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 22/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: Ace Wrap v2: Intact st: NotStopd t0: [00:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [00:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 8 v2: 0.4 st: NotStopd t0: [00:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [00:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 0 v2: 2 st: NotStopd t0: [00:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 22/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [01:30:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:30:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [02:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [02:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Gastric v2: Oral st: NotStopd t0: [02:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [02:00:00 22/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [02:00:00 22/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 22/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 22/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 22/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [02:00:00 22/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 5 st: NotStopd t0: [02:00:00 22/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [02:00:00 22/11/2009] id: IV #4 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [02:00:00 22/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 4 st: NotStopd t0: [02:00:00 22/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 20 gauge st: NotStopd t0: [02:00:00 22/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 22/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [02:00:00 22/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: Erythematous st: NotStopd t0: [02:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [02:00:00 22/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [02:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [02:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [02:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [02:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [02:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [02:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [02:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [02:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 22/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [02:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [02:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [03:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.31553 u1: ... st: NotStopd t0: [03:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [03:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: RN v1: 4.54104 u1: kg x m st: NotStopd t0: [03:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.18447 u1: ... st: NotStopd t0: [03:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: RN v1: 53.312 u1: g * m st: NotStopd t0: [03:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.7282 u1: g*m/m2 st: NotStopd t0: [03:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [03:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: RN v1: 27.1845 u1: ... st: NotStopd t0: [03:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 56.1176 u1: ml st: NotStopd t0: [03:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.8 u1: Deg. C st: NotStopd t0: [03:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.84 u1: Deg. F st: NotStopd t0: [03:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.77 u1: L/min st: NotStopd
t0: [02:00:00 22/11/2009] tf: [20:00:00 22/11/2009] dt: 1080 id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [03:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 25.89 vu: ml t0: [03:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 15006 id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 37.7563 vu: ml t0: [03:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [03:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Fentanyl el: 100 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [03:11:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [03:11:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [03:11:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:11:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [03:11:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [03:11:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [01:25:00 22/11/2009] id: CPK/MB Enzymes el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [01:25:00 22/11/2009] id: Troponin Enzymes el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd
t0: [03:30:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [03:30:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [03:30:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [03:30:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:30:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [03:30:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:30:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:30:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [03:30:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [03:30:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:30:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:30:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [03:30:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [03:30:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 14976 id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:30:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:30:00 22/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 22/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [03:30:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml nb: 1
t0: [04:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 15 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [04:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 22/11/2009] id: Previous WeightF el: 0 cu: CSRU cg: RN v1: 94.9 u1: kg st: NotStopd t0: [04:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [04:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [04:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [04:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 25.89 vu: ml t0: [04:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 14946 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.25 vu: ml t0: [04:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 37.7563 vu: ml t0: [04:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [04:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 25.8303 u1: ml/cmH st: NotStopd t0: [04:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 1 u1: torr st: NotStopd t0: [04:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 8 st: NotStopd t0: [04:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 17.8 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [04:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [04:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 37.1 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 2 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 22/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [04:59:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:59:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [04:59:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [04:59:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [04:59:00 22/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.24 rs: Final st: NotStopd
t0: [04:56:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.5 u1: % rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.7 u1: gm/dl rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 112 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.24 u1: /mic l rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd
t0: [04:56:00 22/11/2009] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.1 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd
t0: [04:56:00 22/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 19 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 203 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.6 u1: mg/dl rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 123 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.3 u1: mEq/L rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.1 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 133 rs: Final st: NotStopd
t0: [01:00:00 22/11/2009] id: Mixed Venous O2% Sat Blood Gases el: 0 cu: CSRU cg: RN v1: 72 rs: Manual st: NotStopd
t0: [00:00:00 22/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [00:00:00 22/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [03:00:00 22/11/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Pan Cultured st: NotStopd t0: [05:00:00 22/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [05:00:00 22/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [05:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [05:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 29 u1: BPM st: NotStopd t0: [05:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [05:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [05:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [05:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 25.89 vu: ml t0: [05:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [05:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 37.7563 vu: ml t0: [05:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml t0: [06:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [06:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 25.89 vu: ml t0: [06:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 37.7563 vu: ml t0: [06:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [05:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [05:30:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:30:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 24 u1: mmHg st: NotStopd t0: [05:30:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:30:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:30:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [05:30:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:30:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [05:30:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [05:30:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:30:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [05:30:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 89 u1: % st: NotStopd t0: [05:30:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:30:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [05:30:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [05:30:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:45:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:45:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [05:45:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:45:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:45:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:45:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [05:45:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:45:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:45:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [05:45:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:45:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:45:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [05:45:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:45:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [05:45:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [05:45:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 16 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [06:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [06:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [06:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [06:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [06:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:30:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:30:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:30:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:45:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:45:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:45:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip
id: Vecuronium el: 100 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions am: 100 du: mgkghr rt: IV Drip
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [06:10:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:10:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:10:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:10:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [06:10:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:10:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:10:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:10:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:10:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 88 u1: % st: NotStopd t0: [06:10:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [06:10:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [06:10:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:15:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:15:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [06:15:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:15:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:15:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:15:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [06:15:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:15:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RN v1: 12.5 u1: cmH2O st: NotStopd t0: [06:15:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [06:15:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [06:15:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:15:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:15:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 87 u1: % st: NotStopd t0: [06:15:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:15:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.1 u1: Deg. C st: NotStopd t0: [06:15:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.38 u1: Deg. F st: NotStopd t0: [06:15:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:10:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:10:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:10:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 50 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:15:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:15:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1.75 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:15:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 22/11/2009] id: Rec. Breath Pressure el: 0 cu: CSRU cg: -1 v1: 35 st: NotStopd t0: [06:30:00 22/11/2009] id: Rec.Breath Time(sec) el: 0 cu: CSRU cg: -1 v1: 60 st: NotStopd
t0: [06:30:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:30:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 18 u1: mmHg st: NotStopd t0: [06:30:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:30:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:30:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:30:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:30:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:30:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [06:30:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [06:30:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:30:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [06:30:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:30:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:30:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [06:30:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [06:30:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:30:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:30:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:30:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [06:30:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [06:30:00 22/11/2009] id: Recruit Breath el: 0 cu: CSRU cg: -1 v1: CPAP st: NotStopd
t0: [06:35:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:35:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 20 u1: mmHg st: NotStopd t0: [06:35:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:35:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:35:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:35:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 106 u1: BPM st: NotStopd t0: [06:35:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:35:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [06:35:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [06:35:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:35:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:35:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [06:35:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:35:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.9 u1: Deg. C st: NotStopd t0: [06:35:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.02 u1: Deg. F st: NotStopd t0: [06:35:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:40:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:40:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 22 u1: mmHg st: NotStopd t0: [06:40:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:40:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 109 u1: BPM st: NotStopd t0: [06:40:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 73 u2: mmHg st: NotStopd t0: [06:40:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg st: NotStopd t0: [06:40:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:40:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [06:40:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 86 u1: % st: NotStopd t0: [06:40:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39 u1: Deg. C st: NotStopd t0: [06:40:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.2 u1: Deg. F st: NotStopd t0: [06:40:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:35:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:35:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:35:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:40:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 200 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:40:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:40:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [04:56:00 22/11/2009] id: CPK/MB Enzymes el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [04:56:00 22/11/2009] id: Troponin Enzymes el: 0 cu: CSRU cg: 3161 v1: 0.4 rs: Final st: NotStopd
t0: [06:41:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [06:41:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [06:41:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 24 rs: Final st: NotStopd t0: [06:41:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [06:41:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [06:41:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [06:41:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.2744 u1: ml/dl st: NotStopd t0: [06:41:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [06:41:00 22/11/2009] id: O2AV el: 0 cu: CSRU cg: -1 v1: 886.2 u1: ml/min st: NotStopd t0: [06:41:00 22/11/2009] id: O2AVI el: 0 cu: CSRU cg: -1 v1: 430.097 u1: ml/m/m st: NotStopd t0: [07:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.07282 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [07:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 7.1453 u1: kg x m st: NotStopd t0: [07:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.4466 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 73.372 u1: g * m st: NotStopd t0: [07:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 35.4369 u1: g*m/m2 st: NotStopd t0: [07:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 41 u1: BPM st: NotStopd t0: [07:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 31.5534 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 872.038 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1798.05 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 64.5918 u1: ml st: NotStopd t0: [07:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [07:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 39 u1: Deg. C st: NotStopd t0: [07:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 102.2 u1: Deg. F st: NotStopd t0: [07:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [07:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 6.33 u1: L/min st: NotStopd
t0: [07:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 4 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip
t0: [02:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 34 u1: mmHg st: NotStopd t0: [02:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 45 u1: mmHg v2: 25 u2: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [03:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: RN v1: 1.81642 u1: kg * m st: NotStopd t0: [03:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: RN v1: 0.883495 u1: ... st: NotStopd t0: [03:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: RN v1: 21.3248 u1: g * m st: NotStopd t0: [03:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.3398 u1: g*m/m2 st: NotStopd t0: [03:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: RN v1: 939.203 u1: ... st: NotStopd t0: [03:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: RN v1: 1931.03 u1: ... st: NotStopd t0: [04:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [04:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [05:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 32 u1: mmHg st: NotStopd t0: [05:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 42 u1: mmHg v2: 24 u2: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 30 u1: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 23 u2: mmHg st: NotStopd t0: [06:00:00 22/11/2009] id: PCWP el: 0 cu: CSRU cg: RN v1: 17 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 29 u1: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 37 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: RN v1: 2.49655 u1: kg * m st: NotStopd t0: [07:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: RN v1: 1.21359 u1: ... st: NotStopd t0: [07:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: RN v1: 25.636 u1: g * m st: NotStopd t0: [07:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: RN v1: 12.4272 u1: g*m/m2 st: NotStopd
t0: [07:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 14766 id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
id: Neosynephrine-k el: 101 cu: CSRU cg: -1 io: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions am: 120 du: mcgkgmin rt: IV Drip id: Heparin el: 100 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions am: 25000 du: Uhr rt: IV Drip
t0: [07:00:00 22/11/2009] id: O2 Delivery Device#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [07:00:00 22/11/2009] id: O2 Flow (lpm) #2 el: 0 cu: CSRU cg: -1 st: D/C'd
io: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ra: 6 ru: ml/hr io: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ra: 43.15 ru: ml/hr
t0: [07:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 300 du: mcghr sv: 50 su: ml rt: IV Drip
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push id: D5W el: 1 cu: CSRU cg: RN io: D5W 250.0ml + 25000Uhr Heparin IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [05:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Cough/DeepBreath st: NotStopd t0: [05:00:00 22/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [05:00:00 22/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 22/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Poor st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Changed st: NotStopd t0: [05:00:00 22/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [05:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [05:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [05:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 22/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [05:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [05:00:00 22/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [05:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [05:00:00 22/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [05:00:00 22/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 22/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Gastric v2: Oral st: NotStopd t0: [06:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [06:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [06:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [06:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [06:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [06:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [06:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 4 u2: V-mA st: NotStopd t0: [06:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.4 st: NotStopd t0: [06:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 2 st: NotStopd t0: [07:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Paralytic Med st: NotStopd
t0: [07:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 10 vu: ml t0: [07:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 16.1812 vu: ml t0: [07:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 16.6667 vu: ml t0: [07:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 58.4323 vu: ml t0: [07:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 0 vu: ml nb: 1 t0: [07:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 150 vu: ml
t0: [07:15:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:15:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 14 u1: mmHg st: NotStopd t0: [07:15:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:15:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:15:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:15:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [07:15:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:15:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 28 u1: mmHg st: NotStopd t0: [07:15:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [07:15:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [07:15:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [07:15:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:15:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 45 u1: BPM st: NotStopd t0: [07:15:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:15:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:15:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 39.2 u1: Deg. C st: NotStopd t0: [07:15:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 102.56 u1: Deg. F st: NotStopd t0: [07:15:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:15:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 300 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:15:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 3 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:15:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:15:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 22/11/2009] id: Radiologic Study el: 0 cu: CSRU cg: RN v1: Chest Xray st: NotStopd
t0: [07:45:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:45:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [07:45:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:45:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:45:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:45:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [07:45:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:45:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [07:45:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [07:45:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [07:45:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [07:45:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:45:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 50 u1: BPM st: NotStopd t0: [07:45:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:45:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [07:45:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 39.1 u1: Deg. C st: NotStopd t0: [07:45:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 102.38 u1: Deg. F st: NotStopd t0: [07:45:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:45:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:45:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:45:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:45:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 25.9259 u1: ml/cmH st: NotStopd t0: [08:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 1 u1: torr st: NotStopd t0: [08:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.6 st: NotStopd t0: [08:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [08:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 22/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [08:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [08:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [08:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 25 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.5 u1: L/min st: NotStopd t0: [08:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [08:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 42 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 38 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 22/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [08:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [08:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [08:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [07:57:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.6255 u1: ml/dl st: NotStopd t0: [07:57:00 22/11/2009] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 949.5 u1: ml/min st: NotStopd t0: [07:57:00 22/11/2009] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 461.165 u1: ml/m/m st: NotStopd t0: [07:57:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -2 rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 23 rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 37 u1: mmHg rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 139 u1: mmHg rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [07:57:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [08:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [08:00:00 22/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [08:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Disease Process st: NotStopd t0: [08:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Gastric v2: Oral st: NotStopd t0: [08:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [08:00:00 22/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 22/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 22/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Dampened st: NotStopd t0: [08:00:00 22/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 22/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 5 st: NotStopd t0: [08:00:00 22/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 22/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 22/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 22/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 22/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 22/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Poor st: NotStopd t0: [08:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [08:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Paralytic Med st: NotStopd t0: [08:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 22/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [08:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [08:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [08:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [08:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [08:00:00 22/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [08:00:00 22/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 0.4 st: NotStopd t0: [08:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [08:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 55 u1: BPM st: NotStopd t0: [08:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 39.1 u1: Deg. C st: NotStopd t0: [08:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 102.38 u1: Deg. F st: NotStopd t0: [08:00:00 22/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [08:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 22/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd
t0: [08:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [08:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 0 vu: ml t0: [08:00:00 22/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 100 vu: ml t0: [08:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [08:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [08:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 26.25 vu: ml t0: [08:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 56.6344 vu: ml t0: [08:00:00 22/11/2009] tf: [10:00:00 23/11/2009] dt: 1560 id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [08:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [08:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 22/11/2009] tf: [21:00:00 22/11/2009] dt: 840 id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip t0: [08:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [08:30:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:30:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:30:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:30:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:30:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [08:30:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:30:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [08:30:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:30:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 11 u1: BPM st: NotStopd t0: [08:30:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:30:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:30:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.9 u1: Deg. C st: NotStopd t0: [08:30:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 102.02 u1: Deg. F st: NotStopd t0: [08:30:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:30:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:30:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [08:30:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.48544 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [09:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.38682 u1: kg x m st: NotStopd t0: [09:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.13592 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 47.9808 u1: g * m st: NotStopd t0: [09:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 23.301 u1: g*m/m2 st: NotStopd t0: [09:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 73.6667 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [09:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.01933 u1: kg * m st: NotStopd t0: [09:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.980583 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 22.0864 u1: g * m st: NotStopd t0: [09:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 10.7282 u1: g*m/m2 st: NotStopd t0: [09:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [09:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 27.1845 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 750 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1542.17 u1: ... st: NotStopd t0: [09:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 55.6522 u1: ml st: NotStopd t0: [09:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.7 u1: Deg. C st: NotStopd t0: [09:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.66 u1: Deg. F st: NotStopd t0: [09:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.12 u1: L/min st: NotStopd
t0: [09:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [09:00:00 22/11/2009] tf: [21:00:00 22/11/2009] dt: 720 id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [09:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [09:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [09:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [09:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 59.3313 vu: ml t0: [09:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [09:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [09:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [09:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 14646 id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip
t0: [10:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [10:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 52 u1: mmHg st: NotStopd t0: [10:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [10:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [10:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.4 u1: Deg. C st: NotStopd t0: [10:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.12 u1: Deg. F st: NotStopd t0: [10:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [10:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [10:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [10:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [10:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [10:00:00 22/11/2009] id: D5W 250.0ml + 120mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml t0: [10:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [10:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [10:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [10:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [10:22:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.6317 u1: ml/dl st: NotStopd t0: [10:22:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 141 u1: mmHg rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 119 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33 u1: % rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.8 rs: Final st: NotStopd t0: [10:22:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [09:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.9 u1: torr st: NotStopd t0: [11:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.26214 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.99269 u1: kg x m st: NotStopd t0: [11:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.94175 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 49.6944 u1: g * m st: NotStopd t0: [11:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 24.2718 u1: g*m/m2 st: NotStopd t0: [11:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 1.8379 u1: kg * m st: NotStopd t0: [11:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.893204 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 22.8752 u1: g * m st: NotStopd t0: [11:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 11.1165 u1: g*m/m2 st: NotStopd t0: [11:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [11:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.1553 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 824.034 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1699.12 u1: ... st: NotStopd t0: [11:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 57.5309 u1: ml st: NotStopd t0: [11:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.3 u1: Deg. C st: NotStopd t0: [11:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.94 u1: Deg. F st: NotStopd t0: [11:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.66 u1: L/min st: NotStopd
t0: [11:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [11:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [11:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [11:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [11:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [11:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [11:00:00 22/11/2009] tf: [14:00:00 23/11/2009] dt: 1620 id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml t0: [11:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [11:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [11:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [11:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [11:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [11:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [11:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [11:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [11:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [11:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [11:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.30097 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [12:00:00 22/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 22/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [12:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Disease Process st: NotStopd t0: [12:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [12:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Gastric v2: Oral st: NotStopd t0: [12:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [12:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 22/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 22/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 3.48106 u1: kg x m st: NotStopd t0: [12:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.69903 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 43.3296 u1: g * m st: NotStopd t0: [12:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 20.8738 u1: g*m/m2 st: NotStopd t0: [12:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Paralytic Med st: NotStopd t0: [12:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 96 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 22/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 22/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [12:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [12:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 54 u1: mmHg st: NotStopd t0: [12:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [12:00:00 22/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Sluggish v2: Sluggish st: NotStopd t0: [12:00:00 22/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 1.93392 u1: kg * m st: NotStopd t0: [12:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.936893 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 0.4 st: NotStopd t0: [12:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [12:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 24.072 u1: g * m st: NotStopd t0: [12:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 11.699 u1: g*m/m2 st: NotStopd t0: [12:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.6408 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 658.228 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1356.52 u1: ... st: NotStopd t0: [12:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 58.5185 u1: ml st: NotStopd t0: [12:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.2 u1: Deg. C st: NotStopd t0: [12:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.76 u1: Deg. F st: NotStopd t0: [12:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [12:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 22/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.74 u1: L/min st: NotStopd
t0: [12:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [12:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [12:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [12:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [12:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [12:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [12:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml t0: [12:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [12:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [12:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [12:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:08:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:08:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: -1 rs: Final st: NotStopd t0: [12:08:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [12:08:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [12:08:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 82 u1: mmHg rs: Final st: NotStopd t0: [12:08:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [12:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 28 u1: ml/cmH st: NotStopd t0: [12:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [12:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.6 st: NotStopd t0: [12:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 22/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [12:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [12:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [12:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 21 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.88 u1: L/min st: NotStopd t0: [12:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [12:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 22/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [12:00:00 22/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [12:00:00 22/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [12:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [12:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [12:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd t0: [12:08:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.3054 u1: ml/dl st: NotStopd t0: [12:08:00 22/11/2009] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 663.6 u1: ml/min st: NotStopd t0: [12:08:00 22/11/2009] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 322.33 u1: ml/m/m st: NotStopd t0: [12:08:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [12:00:00 22/11/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd
t0: [13:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [13:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [13:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [13:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [13:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [13:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [13:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 16 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [13:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 74.6667 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 31 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 47 u1: mmHg v2: 21 u2: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [13:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38 u1: Deg. C st: NotStopd t0: [13:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.4 u1: Deg. F st: NotStopd t0: [13:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [13:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [13:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [13:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [13:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [13:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [13:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml
t0: [13:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [13:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [13:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [14:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 15 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.58738 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [14:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.78421 u1: kg x m st: NotStopd t0: [14:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.3301 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 60.1392 u1: g * m st: NotStopd t0: [14:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 29.1262 u1: g*m/m2 st: NotStopd t0: [14:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 76.6667 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 44 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [14:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.17464 u1: kg * m st: NotStopd t0: [14:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 1.0534 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 27.336 u1: g * m st: NotStopd t0: [14:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 13.2524 u1: g*m/m2 st: NotStopd t0: [14:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 10 u1: BPM st: NotStopd t0: [14:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 32.5243 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 765.478 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1575.29 u1: ... st: NotStopd t0: [14:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 66.625 u1: ml st: NotStopd t0: [14:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.7 u1: Deg. C st: NotStopd t0: [14:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.86 u1: Deg. F st: NotStopd t0: [14:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [14:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.33 u1: L/min st: NotStopd
t0: [13:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [14:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [14:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [14:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [14:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [14:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [14:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [14:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml t0: [14:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [14:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [14:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [14:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
id: Neosynephrine-k el: 102 cu: CSRU cg: -1 io: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions am: 240 du: mcgkgmin rt: IV Drip
io: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ra: 32.3625 ru: ml/hr
id: D5W el: 1 cu: CSRU cg: -1 io: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [15:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [15:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 121 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 76.3333 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 46 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [15:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [15:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [15:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [15:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [15:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [15:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [15:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [15:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [15:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [15:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [15:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 64.725 vu: ml t0: [15:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 350 vu: ml
t0: [15:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [15:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 6 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [15:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [15:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [12:08:00 22/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.08 rs: Final st: NotStopd
t0: [12:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [13:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd
t0: [14:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd
t0: [16:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Disease Process st: NotStopd t0: [16:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [16:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Gastric v2: Oral st: NotStopd t0: [16:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Clamped st: NotStopd t0: [16:00:00 22/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 22/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [16:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Paralytic Med st: NotStopd t0: [16:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 22/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 22/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [16:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [16:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [16:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 4 u2: V-mA st: NotStopd t0: [16:00:00 22/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 22/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 0.4 st: NotStopd t0: [16:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Crackles st: NotStopd t0: [16:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 22/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 2 st: NotStopd t0: [16:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 22/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd
t0: [16:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [16:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [16:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [16:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [16:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [16:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [16:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 32.3625 vu: ml t0: [16:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [16:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.17476 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 4.1431 u1: kg x m st: NotStopd t0: [16:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 1.99029 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 54.5632 u1: g * m st: NotStopd t0: [16:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 26.699 u1: g*m/m2 st: NotStopd t0: [16:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 71.6667 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 29 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 43 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [16:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 1.76691 u1: kg * m st: NotStopd t0: [16:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.859223 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 23.2696 u1: g * m st: NotStopd t0: [16:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 11.3107 u1: g*m/m2 st: NotStopd t0: [16:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.6408 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 964.286 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1990.78 u1: ... st: NotStopd t0: [16:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [16:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 58.9474 u1: ml st: NotStopd t0: [16:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [16:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [16:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 4.48 u1: L/min st: NotStopd
t0: [16:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [16:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [16:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:53:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 14.1373 u1: ml/dl st: NotStopd t0: [16:53:00 22/11/2009] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 627.2 u1: ml/min st: NotStopd t0: [16:53:00 22/11/2009] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 304.369 u1: ml/m/m st: NotStopd t0: [16:53:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 74 u1: mmHg rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.38 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.4 rs: Final st: NotStopd t0: [16:53:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [16:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 26.4151 u1: ml/cmH st: NotStopd t0: [16:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [16:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.6 st: NotStopd t0: [16:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 22/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [16:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [16:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.8 u1: L/min st: NotStopd t0: [16:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [16:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 39 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 36 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 22/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thin st: NotStopd t0: [16:00:00 22/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 22/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [16:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [16:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [17:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [17:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [17:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [17:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.6 u1: Deg. C st: NotStopd t0: [17:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.68 u1: Deg. F st: NotStopd t0: [17:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [17:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [17:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [17:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [17:00:00 22/11/2009] tf: [13:06:00 02/12/2009] dt: 14166 id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [17:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [17:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 26.9688 vu: ml t0: [17:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [17:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 1 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [17:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [17:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [17:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [16:54:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.5 rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.1 u1: % rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.2 u1: gm/dl rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.07 u1: /mic l rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.5 rs: Final st: NotStopd
t0: [16:53:00 22/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.11 rs: Final st: NotStopd t0: [18:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd
t0: [16:54:00 22/11/2009] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 97 rs: Final st: NotStopd t0: [16:54:00 22/11/2009] id: CPK Enzymes el: 0 cu: CSRU cg: 3161 v1: 117 rs: Final st: NotStopd t0: [18:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd
t0: [18:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [18:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [18:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [18:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [18:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [18:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [18:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 24.2719 vu: ml
t0: [18:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [18:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.92233 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [18:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: A Paced st: NotStopd t0: [18:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.32168 u1: kg x m st: NotStopd t0: [18:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.57282 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 55.692 u1: g * m st: NotStopd t0: [18:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 27.1845 u1: g*m/m2 st: NotStopd t0: [18:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [18:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.12867 u1: kg * m st: NotStopd t0: [18:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 1.03398 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 22.2768 u1: g * m st: NotStopd t0: [18:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 10.8252 u1: g*m/m2 st: NotStopd t0: [18:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.5825 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 704.319 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1452.05 u1: ... st: NotStopd t0: [18:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [18:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 63.3684 u1: ml st: NotStopd t0: [18:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.7 u1: Deg. C st: NotStopd t0: [18:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.86 u1: Deg. F st: NotStopd t0: [18:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 6.02 u1: L/min st: NotStopd
t0: [18:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 260 vu: ml
t0: [18:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [18:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [18:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [04:56:00 22/11/2009] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 165 rs: Final st: NotStopd
t0: [19:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.70874 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 95 u1: BPM st: NotStopd t0: [19:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: A Paced st: NotStopd t0: [19:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.61571 u1: kg x m st: NotStopd t0: [19:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.71845 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 59.3776 u1: g * m st: NotStopd t0: [19:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 28.6408 u1: g*m/m2 st: NotStopd t0: [19:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 116 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 40 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [19:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.04898 u1: kg * m st: NotStopd t0: [19:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.995146 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 21.6648 u1: g * m st: NotStopd t0: [19:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 10.534 u1: g*m/m2 st: NotStopd t0: [19:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [19:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 28.6408 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 903.226 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1859.78 u1: ... st: NotStopd t0: [19:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [19:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 58.7368 u1: ml st: NotStopd t0: [19:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [19:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.7 u1: Deg. C st: NotStopd t0: [19:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 99.86 u1: Deg. F st: NotStopd t0: [19:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [19:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.58 u1: L/min st: NotStopd
t0: [19:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 10 vu: ml t0: [19:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 6 vu: ml t0: [19:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [19:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [19:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 15 vu: ml t0: [19:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [19:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 26.9688 vu: ml t0: [19:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [19:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [19:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [19:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [16:54:00 22/11/2009] id: Troponin Enzymes el: 0 cu: CSRU cg: 3161 v1: <0.3 rs: Final st: NotStopd
t0: [17:09:00 22/11/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 43.4 rs: Final st: NotStopd
t0: [19:30:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:30:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:30:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [19:30:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [19:30:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [19:30:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:30:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [19:30:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [19:30:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [19:30:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 37.9 u1: Deg. C st: NotStopd t0: [19:30:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.22 u1: Deg. F st: NotStopd t0: [19:30:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:30:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [19:30:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [19:30:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [19:30:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [19:30:00 22/11/2009] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 26.7176 u1: ml/cmH st: NotStopd t0: [20:00:00 22/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 22/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [20:00:00 22/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 2.6 st: NotStopd t0: [20:00:00 22/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 22/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 22/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 u1: Deg. C st: NotStopd t0: [20:00:00 22/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [20:00:00 22/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [20:00:00 22/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 22/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 19.3 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.9 u1: L/min st: NotStopd t0: [20:00:00 22/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 22/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 38.7 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 34.8 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 22/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 22/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [20:00:00 22/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 22/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [20:00:00 22/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [20:00:00 22/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 22/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [20:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [20:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38 u1: Deg. C st: NotStopd t0: [20:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.4 u1: Deg. F st: NotStopd t0: [20:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 22/11/2009] tf: [21:00:00 26/11/2009] dt: 6420 id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 0 vu: ml nb: 1 t0: [10:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [11:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [12:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [13:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [14:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [15:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [16:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [17:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [18:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [19:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 22/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vu: ml st: Stopped t0: [20:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 6 vu: ml t0: [20:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [20:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [20:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 15 vu: ml t0: [20:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [20:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [20:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [20:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [20:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [20:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 600 du: Uhr sv: 250 su: ml rt: IV Drip
t0: [20:00:00 22/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 22/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [20:00:00 22/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 22/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [20:00:00 22/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Gastric v2: Oral st: NotStopd t0: [20:00:00 22/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 22/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 22/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 22/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 22/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 5 st: NotStopd t0: [20:00:00 22/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 22/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 22/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 22/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 22/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 22/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 22/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 22/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 22/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 22/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 22/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 22/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 22/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Paralytic Med st: NotStopd t0: [20:00:00 22/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 22/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 22/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 22/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [20:00:00 22/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 22/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [20:00:00 22/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 22/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 22/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 22/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [20:00:00 22/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA u2: V-mA st: NotStopd t0: [20:00:00 22/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 22/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [20:00:00 22/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 1.2 st: NotStopd t0: [20:00:00 22/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 22/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 22/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 22/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 22/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 22/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 22/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 22/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 22/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd
t0: [20:00:00 22/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 22/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 22/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 80.3333 u1: mmHg st: NotStopd t0: [20:00:00 22/11/2009] id: NMB Medication el: 0 cu: CSRU cg: RN v1: Vecuronium st: NotStopd t0: [20:00:00 22/11/2009] id: Nerve Stimulated el: 0 cu: CSRU cg: RN v1: Right Facial st: NotStopd t0: [20:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 22/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [20:00:00 22/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Logroll st: NotStopd t0: [20:00:00 22/11/2009] id: Baseline Current/mA el: 0 cu: CSRU cg: RN u1: mA st: NotStopd t0: [20:00:00 22/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [21:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [21:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [21:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [21:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [21:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [21:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.1 u1: Deg. C st: NotStopd t0: [21:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.58 u1: Deg. F st: NotStopd t0: [21:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 22/11/2009] tf: [21:00:00 26/11/2009] dt: 5880 id: Gastric Oral Gastric el: 2 cu: CSRU cg: RN vo: 250 vu: ml t0: [21:00:00 22/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: RN ai: 823 vo: 6 vu: ml st: Stopped t0: [21:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [21:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 15 vu: ml t0: [21:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [21:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [21:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [21:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [21:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip t0: [21:00:00 22/11/2009] id: Heparin el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: Uhr sv: 250 su: ml rt: IV Drip st: Stopped
t0: [23:00:00 22/11/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 250 ap: none
id: Fentanyl el: 101 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ra: 3 ru: ml/hr
id: .9% Normal Saline el: 1 cu: CSRU cg: RN io: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions vo: 50 du: ml rt: Intravenous Push
t0: [21:00:00 22/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.4 rs: Final st: NotStopd
t0: [21:00:00 22/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.3538 u1: ml/dl st: NotStopd t0: [21:00:00 22/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 33 u1: % rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.31 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [21:00:00 22/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [16:54:00 22/11/2009] id: CPK/MB Enzymes el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd
t0: [21:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [22:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [22:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 109 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.6667 u1: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [22:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [22:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.3 u1: Deg. C st: NotStopd t0: [22:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 100.94 u1: Deg. F st: NotStopd t0: [22:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [22:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 15 vu: ml t0: [22:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [22:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [22:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [22:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [22:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [22:00:00 22/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.3932 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: LCW el: 0 cu: CSRU cg: RN v1: 4.8945 u1: kg x m st: NotStopd t0: [22:00:00 22/11/2009] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.37864 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: LVSW el: 0 cu: CSRU cg: RN v1: 51.6256 u1: g * m st: NotStopd t0: [22:00:00 22/11/2009] id: LVSWI el: 0 cu: CSRU cg: RN v1: 25.2427 u1: g*m/m2 st: NotStopd t0: [22:00:00 22/11/2009] id: RCW el: 0 cu: CSRU cg: RN v1: 1.74325 u1: kg * m st: NotStopd t0: [22:00:00 22/11/2009] id: RCWI el: 0 cu: CSRU cg: RN v1: 0.84466 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: RVSW el: 0 cu: CSRU cg: RN v1: 18.3872 u1: g * m st: NotStopd t0: [22:00:00 22/11/2009] id: RVSWI el: 0 cu: CSRU cg: RN v1: 8.93204 u1: g*m/m2 st: NotStopd t0: [22:00:00 22/11/2009] id: SVI el: 0 cu: CSRU cg: RN v1: 25.2427 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: SVR el: 0 cu: CSRU cg: RN v1: 1022.31 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: SVRI el: 0 cu: CSRU cg: RN v1: 2108.79 u1: ... st: NotStopd t0: [22:00:00 22/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 51.8947 u1: ml st: NotStopd t0: [22:00:00 22/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 4.93 u1: L/min st: NotStopd
t0: [23:00:00 22/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 22/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 22/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 22/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [23:00:00 22/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [23:00:00 22/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69.6667 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [23:00:00 22/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 22/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 22/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 22/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [23:00:00 22/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [23:00:00 22/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [23:00:00 22/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 22/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [23:00:00 22/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [23:00:00 22/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 22/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [23:00:00 22/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [23:00:00 22/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [23:00:00 22/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [23:00:00 22/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [23:00:00 22/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 22/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [23:00:00 22/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [23:00:00 22/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 340 cv: 340 ap: none t0: [23:00:00 22/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -266.496 cv: -266.496 ap: none t0: [23:00:00 22/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 73.5044 cv: 2997.36 ap: none t0: [23:00:00 22/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 73.5044 cv: 2997.36 ap: none t0: [23:00:00 22/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 340 cv: 2940 ap: none t0: [23:00:00 22/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -266.496 cv: -192.64 ap: none t0: [23:00:00 22/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 340 cv: 3190 ap: none t0: [23:00:00 22/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -266.496 cv: -57.5058 ap: none
t0: [00:00:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 28.5714 u1: ml/cmH st: NotStopd t0: [00:00:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [00:00:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 2.6 st: NotStopd t0: [00:00:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [00:00:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [00:00:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [00:00:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [00:00:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [00:00:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [23:00:00 22/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [23:00:00 22/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:00:00 22/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:00:00 22/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [23:00:00 22/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [23:00:00 22/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 9 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [00:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [00:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Gastric v2: Oral st: NotStopd t0: [00:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [00:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [00:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Paralytic Med st: NotStopd t0: [00:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [00:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.3333 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 36 u1: mmHg v2: 16 u2: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [00:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 23/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [00:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 23/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: RN v1: Yes v2: Yes st: NotStopd t0: [00:00:00 23/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA u2: V-mA st: NotStopd t0: [00:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [00:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [00:00:00 23/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 1.2 st: NotStopd t0: [00:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [00:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [00:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [00:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [00:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [00:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [00:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [00:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [00:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [00:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [00:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [00:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [00:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [00:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml
t0: [20:00:00 22/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [23:00:00 22/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [01:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Sedated st: NotStopd t0: [01:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: Flat in Bed st: NotStopd t0: [01:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [01:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [01:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 25 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [01:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [01:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [01:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [01:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [01:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [01:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [01:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [01:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [01:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [01:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [01:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [01:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 130 vu: ml
t0: [01:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [01:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [01:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [02:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [02:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 40 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [02:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [02:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [02:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [02:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [02:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [02:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [02:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [02:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [02:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [02:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [02:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [02:00:00 23/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: RN v1: 2.69903 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: LCW el: 0 cu: CSRU cg: RN v1: 5.2175 u1: kg x m st: NotStopd t0: [02:00:00 23/11/2009] id: LCWI el: 0 cu: CSRU cg: RN v1: 2.52427 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: LVSW el: 0 cu: CSRU cg: RN v1: 55.3656 u1: g * m st: NotStopd t0: [02:00:00 23/11/2009] id: LVSWI el: 0 cu: CSRU cg: RN v1: 26.699 u1: g*m/m2 st: NotStopd t0: [02:00:00 23/11/2009] id: RCW el: 0 cu: CSRU cg: RN v1: 1.96602 u1: kg * m st: NotStopd t0: [02:00:00 23/11/2009] id: RCWI el: 0 cu: CSRU cg: RN v1: 0.956311 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: RVSW el: 0 cu: CSRU cg: RN v1: 20.8624 u1: g * m st: NotStopd t0: [02:00:00 23/11/2009] id: RVSWI el: 0 cu: CSRU cg: RN v1: 10.1456 u1: g*m/m2 st: NotStopd t0: [02:00:00 23/11/2009] id: SVI el: 0 cu: CSRU cg: RN v1: 28.6408 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: SVR el: 0 cu: CSRU cg: RN v1: 834.532 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: SVRI el: 0 cu: CSRU cg: RN v1: 1718.52 u1: ... st: NotStopd t0: [02:00:00 23/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: RN v1: 58.5263 u1: ml st: NotStopd t0: [02:00:00 23/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: RN v1: 5.56 u1: L/min st: NotStopd
t0: [03:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [03:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [03:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 27 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [03:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [03:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [03:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [03:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [03:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [03:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [03:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [03:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [03:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [03:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [03:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [03:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [03:16:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.23 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [03:00:00 23/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.2 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.5 u1: % rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.8 u1: gm/dl rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 115 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.02 u1: /mic l rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 10.2 rs: Final st: NotStopd t0: [03:16:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.8392 u1: ml/dl st: NotStopd
t0: [04:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 23/11/2009] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [04:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [04:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Right Radial st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 3 st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: PA line v2: Right IJ st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [04:00:00 23/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 23/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 5 st: NotStopd t0: [04:00:00 23/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [04:00:00 23/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [04:00:00 23/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 23/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [04:00:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [04:00:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [04:00:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [04:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.3333 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [04:00:00 23/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: None st: NotStopd t0: [04:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [04:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.6 u1: Deg. C st: NotStopd t0: [04:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.48 u1: Deg. F st: NotStopd t0: [04:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [04:00:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [04:00:00 23/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [04:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [04:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [04:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [04:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [04:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [04:00:00 23/11/2009] id: Gastric Oral Gastric el: 2 cu: CSRU cg: RN vo: 250 vu: ml
t0: [04:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [04:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [03:00:00 23/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 22 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 134 rs: Final st: NotStopd
t0: [04:00:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 28.5714 u1: ml/cmH st: NotStopd t0: [04:00:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [04:00:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 2.6 st: NotStopd t0: [04:00:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [04:00:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 18.6 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [04:00:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 37 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 32.7 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [04:00:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [04:00:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [04:30:00 23/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 23/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Disease Process st: NotStopd t0: [04:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 3 u1: points st: NotStopd t0: [04:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Gastric v2: Oral st: NotStopd t0: [04:00:00 23/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Low Cont Suction v2: Bilious st: NotStopd t0: [04:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: RN v1: Approximated st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 23/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Paralytic Med st: NotStopd t0: [04:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [04:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Atrial Demand st: NotStopd t0: [04:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 23/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 23/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 23/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA u2: V-mA st: NotStopd t0: [04:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [04:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [04:00:00 23/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 1.2 st: NotStopd t0: [04:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [04:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [05:00:00 23/11/2009] id: D5W 250.0ml + 25000Uhr Heparin IV Infusions el: 1 cu: CSRU cg: -1 ai: 823 vo: 0 st: D/C'd
t0: [05:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [05:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [05:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [05:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [05:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.5 u1: Deg. C st: NotStopd t0: [05:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.3 u1: Deg. F st: NotStopd t0: [05:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [05:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [05:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [05:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [05:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [05:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [05:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [06:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 11 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 95 u1: BPM st: NotStopd t0: [06:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [06:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 39 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 106 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [06:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [06:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [06:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [06:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [06:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [06:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [06:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [06:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [06:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [06:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [06:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: RN v1: 10 u1: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [07:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: A Paced st: NotStopd t0: [07:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 69 u1: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: RN v1: 26 u1: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: RN v1: 38 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [07:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [07:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Blood st: NotStopd t0: [07:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: RN v1: 38.4 u1: Deg. C st: NotStopd t0: [07:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: RN v1: 101.12 u1: Deg. F st: NotStopd t0: [07:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 23/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: RN ai: 189 vo: 12.945 vu: ml t0: [07:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [07:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [07:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: RN ai: 109 vo: 10.7875 vu: ml t0: [07:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 24.2719 vu: ml t0: [07:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [07:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [07:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU cg: RN so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [07:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [07:00:00 23/11/2009] id: Carrier IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [07:00:00 23/11/2009] id: .9% Normal Saline 1000.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
id: D5W el: 2 cu: CSRU cg: -1 io: D5W 250.0ml IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [07:00:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:35:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 30.0429 u1: ml/cmH st: NotStopd t0: [07:35:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:35:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.6 u1: torr st: NotStopd t0: [07:35:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:35:00 23/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.6 st: NotStopd t0: [07:35:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [07:35:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:35:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [07:35:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [07:35:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 21.1 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [07:35:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [07:35:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 35.8 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 33 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:35:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:35:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:35:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [07:35:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:35:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:35:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [07:35:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [07:35:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [07:35:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [07:35:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [07:35:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 23/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 2.79612 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Unarousable st: NotStopd t0: [08:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [08:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 23/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [08:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [08:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: A Paced st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: PA line v2: Right IJ st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 23/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 23/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 23/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 23/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 5 st: NotStopd t0: [08:00:00 23/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Hand v2: 20 gauge st: NotStopd t0: [08:00:00 23/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 23/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 23/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 23/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 23/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [08:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 23/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.79686 u1: kg x m st: NotStopd t0: [08:00:00 23/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.81553 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 23/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 63.4032 u1: g * m st: NotStopd t0: [08:00:00 23/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.5825 u1: g*m/m2 st: NotStopd t0: [08:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Paralytic Med st: NotStopd t0: [08:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [08:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 75.3333 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: NMB Medication el: 0 cu: CSRU cg: -1 v1: Vecuronium st: NotStopd t0: [08:00:00 23/11/2009] id: Nerve Stimulated el: 0 cu: CSRU cg: -1 v1: Right Facial st: NotStopd t0: [08:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [08:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 26 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 39 u1: mmHg v2: 17 u2: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: PCWP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: PVR el: 0 cu: CSRU cg: -1 v1: 166.667 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: PVRI el: 0 cu: CSRU cg: -1 v1: 342.857 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Atrial Demand st: NotStopd t0: [08:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [08:00:00 23/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [08:00:00 23/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [08:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 23/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [08:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [08:00:00 23/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [08:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 23/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [08:00:00 23/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 6 u2: V-mA st: NotStopd t0: [08:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [08:00:00 23/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.03674 u1: kg * m st: NotStopd t0: [08:00:00 23/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 0.990291 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 0.5 st: NotStopd t0: [08:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 23/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 22.2768 u1: g * m st: NotStopd t0: [08:00:00 23/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 10.8252 u1: g*m/m2 st: NotStopd t0: [08:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 23/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.5825 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 875 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1800 u1: ... st: NotStopd t0: [08:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [08:00:00 23/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 63.2967 u1: ml st: NotStopd t0: [08:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 23/11/2009] id: TOF Response/Twitch el: 0 cu: CSRU cg: -1 v1: 0 Eye Lid Twitch st: NotStopd t0: [08:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [08:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.3 u1: Deg. C st: NotStopd t0: [08:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.94 u1: Deg. F st: NotStopd t0: [08:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 23/11/2009] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [08:00:00 23/11/2009] id: Vent Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 14 st: NotStopd t0: [08:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 23/11/2009] id: Baseline Current/mA el: 0 cu: CSRU cg: -1 v1: 40 u1: mA st: NotStopd t0: [08:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 23/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 12 u1: number st: NotStopd t0: [08:00:00 23/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Comp. Limited st: NotStopd t0: [08:00:00 23/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 5.76 u1: L/min st: NotStopd
t0: [08:00:00 23/11/2009] tf: [11:00:00 24/11/2009] dt: 1620 id: D5W 250.0ml IV Infusions el: 2 cu: CSRU cg: -1 ai: 110 vo: 20 vu: ml t0: [08:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 12.945 vu: ml t0: [08:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [08:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 3 vu: ml t0: [08:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 10.7875 vu: ml t0: [08:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 24.2719 vu: ml t0: [08:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [08:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 150 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 4.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 25 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0.05 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [08:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
t0: [08:30:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:30:00 23/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [08:30:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [09:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [09:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: A Paced st: NotStopd t0: [09:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [09:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 127 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [09:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [09:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [09:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [09:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [09:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.4 u1: Deg. C st: NotStopd t0: [09:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.12 u1: Deg. F st: NotStopd t0: [09:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 6.4725 vu: ml t0: [09:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [09:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2.5 vu: ml t0: [09:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 5.39375 vu: ml t0: [09:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 24.2719 vu: ml t0: [09:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 160 vu: ml
t0: [09:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 3.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [09:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [08:30:00 23/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Brown v2: Thick st: NotStopd t0: [08:30:00 23/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Unarousable st: NotStopd t0: [09:30:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd
t0: [08:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [10:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [10:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Unarousable st: NotStopd t0: [10:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [10:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: A Paced st: NotStopd t0: [10:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [10:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 41 u1: mmHg v2: 19 u2: mmHg st: NotStopd t0: [10:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [10:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [10:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [10:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [10:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.5 u1: Deg. C st: NotStopd t0: [10:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 101.3 u1: Deg. F st: NotStopd t0: [10:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 0 vu: ml t0: [10:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [10:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [10:00:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 vu: ml t0: [10:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 18.8781 vu: ml t0: [10:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [10:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 3.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 23/11/2009] id: Propofol el: 2 cu: CSRU so: N/A vo: 0 v1: 0 du: mcgkgmin sv: 50 su: vl rt: IV Drip t0: [10:00:00 23/11/2009] id: Vecuronium el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mgkghr sv: 250 su: ml rt: IV Drip
t0: [10:01:00 23/11/2009] id: N/A 50.0vl + 500mcgkgmin Propofol IV Infusions el: 2 cu: CSRU cg: -1 ai: 189 vo: 0 st: D/C'd t0: [10:01:00 23/11/2009] id: .9% Normal Saline 250.0ml + 100mgkghr Vecuronium IV Infusions el: 1 cu: CSRU cg: -1 ai: 109 vo: 0 st: D/C'd
t0: [10:08:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd
t0: [10:08:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.9767 u1: ml/dl st: NotStopd t0: [10:08:00 23/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [10:08:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [03:00:00 23/11/2009] id: ALT Enzymes el: 0 cu: CSRU cg: 3161 v1: 10 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: AST Enzymes el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Alk. Phosphate Enzymes el: 0 cu: CSRU cg: 3161 v1: 51 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Amylase Enzymes el: 0 cu: CSRU cg: 3161 v1: 70 rs: Final st: NotStopd t0: [03:00:00 23/11/2009] id: Total Bili (0-1.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 0.8 rs: Final st: NotStopd
t0: [10:08:00 23/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.01 rs: Final st: NotStopd
t0: [10:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
t0: [10:00:00 23/11/2009] id: Radiologic Study el: 0 cu: CSRU cg: -1 v1: Chest Xray st: NotStopd t0: [11:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [11:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Unarousable st: NotStopd t0: [11:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [11:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 30 u1: mmHg st: NotStopd t0: [11:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 48 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [11:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 130 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [11:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [11:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [11:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [11:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.3 u1: Deg. C st: NotStopd t0: [11:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.94 u1: Deg. F st: NotStopd t0: [11:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [11:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [11:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [11:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 18.8781 vu: ml t0: [11:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [11:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 3.5 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:45:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 25.9259 u1: ml/cmH st: NotStopd t0: [11:45:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:45:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:45:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:45:00 23/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.6 st: NotStopd t0: [11:45:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [11:45:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [11:45:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [11:45:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [11:45:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 22.7 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10 u1: L/min st: NotStopd t0: [11:45:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [11:45:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 39.5 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 37.8 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:45:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [11:45:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:45:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:45:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:45:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [11:45:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [11:45:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [11:45:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [11:45:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [11:45:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [11:45:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [10:08:00 23/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 4.2 rs: Final st: NotStopd t0: [12:00:00 23/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 14 u1: mmHg st: NotStopd t0: [12:00:00 23/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 v1: 3.35922 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Unarousable st: NotStopd t0: [12:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Education Handout el: 0 cu: CSRU cg: -1 v1: Not Given st: NotStopd t0: [12:00:00 23/11/2009] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Sig Othr/Family st: NotStopd t0: [12:00:00 23/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [12:00:00 23/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 23/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [12:00:00 23/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [12:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [12:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Low Cont Suction v2: Bilious st: NotStopd t0: [12:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 110 u1: BPM st: NotStopd t0: [12:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [12:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 23/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 23/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 8.09363 u1: kg x m st: NotStopd t0: [12:00:00 23/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 3.93204 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 23/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 73.6848 u1: g * m st: NotStopd t0: [12:00:00 23/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 35.9223 u1: g*m/m2 st: NotStopd t0: [12:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Paralytic Med st: NotStopd t0: [12:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [12:00:00 23/11/2009] id: NMB Medication el: 0 cu: CSRU cg: -1 v1: Vecuronium st: NotStopd t0: [12:00:00 23/11/2009] id: Nerve Stimulated el: 0 cu: CSRU cg: -1 v1: Left Facial st: NotStopd t0: [12:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [12:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 32 u1: mmHg st: NotStopd t0: [12:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 48 u1: mmHg v2: 22 u2: mmHg st: NotStopd t0: [12:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Atrial Demand st: NotStopd t0: [12:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 23/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: -1 v1: 60 u1: BPM st: NotStopd t0: [12:00:00 23/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [12:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 66 u2: mmHg st: NotStopd t0: [12:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 23/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [12:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg st: NotStopd t0: [12:00:00 23/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [12:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 23/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [12:00:00 23/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 6 u2: V-mA st: NotStopd t0: [12:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 23/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 3.01158 u1: kg * m st: NotStopd t0: [12:00:00 23/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 1.46117 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 v1: 10 v2: 0.5 st: NotStopd t0: [12:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 23/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 27.4176 u1: g * m st: NotStopd t0: [12:00:00 23/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 13.301 u1: g*m/m2 st: NotStopd t0: [12:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [12:00:00 23/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.5825 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: SVR el: 0 cu: CSRU cg: -1 v1: 832.37 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1714.29 u1: ... st: NotStopd t0: [12:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 23/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 62.9091 u1: ml st: NotStopd t0: [12:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 23/11/2009] id: TOF Response/Twitch el: 0 cu: CSRU cg: -1 v1: 0 Eye Lid Twitch st: NotStopd t0: [12:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [12:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.3 u1: Deg. C st: NotStopd t0: [12:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.94 u1: Deg. F st: NotStopd t0: [12:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 23/11/2009] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 v1: Yes v2: Yes st: NotStopd t0: [12:00:00 23/11/2009] id: Vent Threshold el: 0 cu: CSRU cg: -1 v1: mA v2: 14 st: NotStopd t0: [12:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 23/11/2009] id: Baseline Current/mA el: 0 cu: CSRU cg: -1 v1: 40 u1: mA st: NotStopd t0: [12:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd t0: [12:00:00 23/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 v1: 6.92 u1: L/min st: NotStopd
t0: [11:00:00 23/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [12:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [12:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [12:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 18.8781 vu: ml t0: [12:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [12:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:15:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:15:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:34:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd t0: [12:34:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [12:34:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [12:34:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [12:34:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [12:34:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.37 rs: Final st: NotStopd
t0: [12:34:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.711 u1: ml/dl st: NotStopd t0: [12:34:00 23/11/2009] id: O2AV el: 0 cu: CSRU cg: 3161 v1: 899.6 u1: ml/min st: NotStopd t0: [12:34:00 23/11/2009] id: O2AVI el: 0 cu: CSRU cg: 3161 v1: 436.893 u1: ml/m/m st: NotStopd t0: [12:34:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [12:15:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [12:15:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [12:15:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 122 u1: BPM st: NotStopd t0: [12:15:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [12:15:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:30:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Occasional st: NotStopd t0: [12:30:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [12:30:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 119 u1: BPM st: NotStopd t0: [12:30:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [12:30:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 23/11/2009] id: Gastric Oral Gastric el: 2 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [23:00:00 23/11/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: -1 cv: 300 ap: none
t0: [12:49:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd
t0: [13:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [13:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [13:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 104 u1: BPM st: NotStopd t0: [13:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [13:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [13:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 78.6667 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 56 u1: mmHg st: NotStopd t0: [13:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [13:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [13:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [13:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 38.1 u1: Deg. C st: NotStopd t0: [13:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.58 u1: Deg. F st: NotStopd t0: [13:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [13:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [13:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [13:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.75 vu: ml t0: [13:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 1.34844 vu: ml t0: [13:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [13:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 11 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [14:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 109 u1: BPM st: NotStopd t0: [14:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [14:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 28 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 38 u1: mmHg v2: 20 u2: mmHg st: NotStopd t0: [14:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [14:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 13 u1: BPM st: NotStopd t0: [14:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [14:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.9 u1: Deg. C st: NotStopd t0: [14:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.22 u1: Deg. F st: NotStopd t0: [14:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [14:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [14:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [14:00:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 0 vu: ml t0: [14:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [14:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 23/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [14:01:00 23/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 0 st: D/C'd
t0: [14:00:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: Assist Control st: NotStopd t0: [14:15:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd
t0: [13:00:00 23/11/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Cardiac Echo st: NotStopd
t0: [15:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 v1: 12 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [15:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [15:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 79.3333 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 v1: 27 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 v1: 36 u1: mmHg v2: 18 u2: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [15:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [15:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [15:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [15:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [15:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 150 vu: ml t0: [15:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [15:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [15:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [15:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:03:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.1918 u1: ml/dl st: NotStopd t0: [15:03:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 104 u1: mmHg rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [15:03:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [13:00:00 23/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 23/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 23/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [15:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [15:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd
t0: [15:15:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [15:00:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd
t0: [15:03:00 23/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.07 rs: Final st: NotStopd
t0: [15:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
t0: [12:00:00 23/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 23/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 23/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Change in Vitals st: NotStopd t0: [16:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Education Handout el: 0 cu: CSRU cg: -1 v1: Not Given st: NotStopd t0: [16:00:00 23/11/2009] id: Education Learner el: 0 cu: CSRU cg: -1 v1: Sig Othr/Family st: NotStopd t0: [16:00:00 23/11/2009] id: Education Method el: 0 cu: CSRU cg: -1 v1: Explanation st: NotStopd t0: [16:00:00 23/11/2009] id: Education Readiness el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 23/11/2009] id: Education Response el: 0 cu: CSRU cg: -1 v1: Reinforced st: NotStopd t0: [16:00:00 23/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [16:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 23/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 3 u1: points st: NotStopd t0: [16:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [16:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 23/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [16:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 23/11/2009] id: LCW el: 0 cu: CSRU cg: -1 v1: 5.62061 u1: kg x m st: NotStopd t0: [16:00:00 23/11/2009] id: LCWI el: 0 cu: CSRU cg: -1 v1: 2.71845 u1: ... st: NotStopd t0: [16:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 23/11/2009] id: LVSW el: 0 cu: CSRU cg: -1 v1: 61.6896 u1: g * m st: NotStopd t0: [16:00:00 23/11/2009] id: LVSWI el: 0 cu: CSRU cg: -1 v1: 30.0971 u1: g*m/m2 st: NotStopd t0: [16:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 1 No Response st: NotStopd t0: [16:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [16:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [16:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [16:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [16:00:00 23/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [16:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 104 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 23/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [16:00:00 23/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 23/11/2009] id: RCW el: 0 cu: CSRU cg: -1 v1: 2.10773 u1: kg * m st: NotStopd t0: [16:00:00 23/11/2009] id: RCWI el: 0 cu: CSRU cg: -1 v1: 1.02427 u1: ... st: NotStopd t0: [16:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 23/11/2009] id: RVSW el: 0 cu: CSRU cg: -1 v1: 23.1336 u1: g * m st: NotStopd t0: [16:00:00 23/11/2009] id: RVSWI el: 0 cu: CSRU cg: -1 v1: 11.2136 u1: g*m/m2 st: NotStopd t0: [16:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [16:00:00 23/11/2009] id: SVI el: 0 cu: CSRU cg: -1 v1: 30.5825 u1: ... st: NotStopd t0: [16:00:00 23/11/2009] id: SVRI el: 0 cu: CSRU cg: -1 v1: 1720.43 u1: ... st: NotStopd t0: [16:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [16:00:00 23/11/2009] id: Stroke Volume el: 0 cu: CSRU cg: -1 v1: 63.0769 u1: ml st: NotStopd t0: [16:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Blood st: NotStopd t0: [16:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 v1: 37.8 u1: Deg. C st: NotStopd t0: [16:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 v1: 100.04 u1: Deg. F st: NotStopd t0: [16:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [16:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Absent st: NotStopd
t0: [16:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [16:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [16:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 270 vu: ml
t0: [16:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 23/11/2009] id: CVP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Cardiac Index el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Cartridge/Bag Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Initials (2 RNs) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Med Wasted/Amt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: NMB Medication el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Nerve Stimulated el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: PAP Mean el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: PAP S/D el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: PCWP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: SVR el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: TOF Response/Twitch el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: Baseline Current/mA el: 0 cu: CSRU cg: -1 st: D/C'd t0: [16:00:00 23/11/2009] id: C.O.(thermodilution) el: 0 cu: CSRU cg: -1 st: D/C'd
io: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ra: 10 ru: ml/hr
id: Gastric Meds el: 1 cu: CSRU cg: -1 io: Gastric Meds PO/Gastric du: ml rt: Gastric/Feeding Tube id: Criticare HN el: 1 cu: CSRU cg: -1 io: Criticare HN Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [16:00:00 23/11/2009] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Right Radial st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 3 st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 23/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 23/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:36:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 22.8758 u1: ml/cmH st: NotStopd t0: [16:36:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:36:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:36:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:36:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:36:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:36:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:36:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [16:36:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:36:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 18.8 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.2 u1: L/min st: NotStopd t0: [16:36:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [16:36:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40.6 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 33.4 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:36:00 23/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [16:36:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [16:36:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:36:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [16:36:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:36:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [16:36:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [16:36:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [16:36:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [16:36:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:36:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [16:36:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [17:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [17:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [17:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 23/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [17:00:00 23/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65.3333 u1: mmHg st: NotStopd t0: [17:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 106 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [17:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [17:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [17:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 23/11/2009] tf: [09:00:00 02/12/2009] dt: 12780 id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 50 vu: ml t0: [14:00:00 23/11/2009] tf: [19:00:00 27/11/2009] dt: 6060 id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [15:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [16:00:00 23/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [16:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [17:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [17:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [17:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [17:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [17:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml
t0: [17:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 23/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 50 ap: none
t0: [17:01:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.8423 u1: ml/dl st: NotStopd t0: [17:01:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 76 u1: mmHg rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30 u1: % rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.35 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.3 rs: Final st: NotStopd t0: [17:01:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [18:00:00 23/11/2009] id: Temperature C el: 0 cu: CSRU cg: -1 st: D/C'd t0: [18:00:00 23/11/2009] id: Temperature F (calc) el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [17:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [17:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [17:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [18:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [18:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 98 u1: BPM st: NotStopd t0: [18:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 23/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [18:00:00 23/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [18:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 23/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [18:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [18:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [18:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [18:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 23/11/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Blood Cultured st: NotStopd
t0: [17:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 st: NotStopd t0: [19:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [19:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [19:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [19:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [19:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [19:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [19:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [19:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 2 vu: ml t0: [19:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 10 vu: ml t0: [19:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [19:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 23/11/2009] id: INV#2Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [20:00:00 23/11/2009] id: INV Line#2SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [20:00:00 23/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 29.2887 u1: ml/cmH st: NotStopd t0: [20:00:00 23/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 23/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 23/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 23/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 23/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [20:00:00 23/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [20:00:00 23/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 23/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.2 u1: L/min st: NotStopd t0: [20:00:00 23/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [20:00:00 23/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 33.9 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 23/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [20:00:00 23/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 23/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [20:00:00 23/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 23/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [20:00:00 23/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [20:00:00 23/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 23/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 23/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: Occasional st: NotStopd t0: [20:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: PAC's st: NotStopd t0: [20:00:00 23/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 23/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 2 To pain st: NotStopd t0: [20:00:00 23/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 4 u1: points st: NotStopd t0: [20:00:00 23/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 23/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 23/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [20:00:00 23/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 23/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 23/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 23/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 23/11/2009] id: INV#2 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 23/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 5 st: NotStopd t0: [20:00:00 23/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Left Hand v2: 20 gauge st: NotStopd t0: [20:00:00 23/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 23/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 23/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 23/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 23/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 23/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 23/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 23/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 23/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 23/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 23/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 23/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 23/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 23/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 23/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [20:00:00 23/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [20:00:00 23/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [20:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 23/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [20:00:00 23/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 23/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 23/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [20:00:00 23/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [20:00:00 23/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Exp Wheeze st: NotStopd t0: [20:00:00 23/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [20:00:00 23/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 23/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 23/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 23/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 23/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 23/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 23/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [20:00:00 23/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Absent st: NotStopd
t0: [20:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2 vu: ml t0: [20:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [20:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [20:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 23/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 23/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 23/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [20:00:00 23/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 23/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 23/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd
t0: [21:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [21:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [21:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [21:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [21:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [21:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 23/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 23/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [21:00:00 23/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 101.1 u1: Deg. F st: NotStopd t0: [21:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2 vu: ml t0: [21:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [21:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [21:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 23/11/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/11/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/11/2009] id: IV #2 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/11/2009] id: IV #2 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/11/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [22:00:00 23/11/2009] id: IV Site Appear #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [22:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [22:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [22:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 163 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [22:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg st: NotStopd t0: [22:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [22:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:15:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:15:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:15:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 112 u1: BPM st: NotStopd t0: [22:15:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 195 u1: mmHg v2: 74 u2: mmHg st: NotStopd t0: [22:15:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [22:15:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:15:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [22:15:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [22:15:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip t0: [22:15:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:15:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 100 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2 vu: ml t0: [22:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [22:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [22:00:00 23/11/2009] id: IV #1 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [22:00:00 23/11/2009] id: IV #2 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [23:00:00 23/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [23:00:00 23/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: Right Antecub v2: 18 gauge st: NotStopd t0: [23:00:00 23/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [23:00:00 23/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: Left Antecub v2: 18 gauge st: NotStopd t0: [23:00:00 23/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [23:00:00 23/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd
t0: [23:00:00 23/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 23/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 23/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 23/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 23/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 23/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 23/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg st: NotStopd t0: [23:00:00 23/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 23/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [23:00:00 23/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 23/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 23/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 23/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 23/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 2 vu: ml t0: [23:00:00 23/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [23:00:00 23/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 23/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 23/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 23/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 140 cv: 140 ap: none t0: [23:00:00 23/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -110.5 cv: -110.5 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 19.5 cv: 1963.41 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 29.5 cv: 2113.41 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 100 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 140 cv: 2895 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -110.5 cv: -1081.59 ap: none t0: [23:00:00 23/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 140 cv: 3195 ap: none t0: [23:00:00 23/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -110.5 cv: -1139.1 ap: none
t0: [22:49:00 23/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.6893 u1: ml/dl st: NotStopd t0: [22:49:00 23/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 131 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.32 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 rs: Final st: NotStopd t0: [22:49:00 23/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [00:00:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 28 u1: ml/cmH st: NotStopd t0: [00:00:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [00:00:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10.3 u1: L/min st: NotStopd t0: [00:00:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [00:00:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 35 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [00:00:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 1 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [00:00:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [00:00:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
id: TF Residual el: 1 cu: CSRU cg: RN io: TF Residual Gastric/TF Residual du: ml rt: Gastric/Feeding Tube
t0: [00:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [00:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [00:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 24/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [00:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [00:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 107 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [00:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [00:00:00 24/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 24/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 24/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [00:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 24/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 24/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [00:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [00:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [00:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 24/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [00:00:00 24/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [00:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [00:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 24/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 24/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd
t0: [00:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [00:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 10 vu: ml t0: [00:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [00:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml
t0: [01:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [01:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [01:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [01:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 0 u1: BPM st: NotStopd t0: [01:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [01:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [01:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 24/11/2009] tf: [08:00:00 25/11/2009] dt: 1920 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 30 vu: ml t0: [01:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [01:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [01:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [01:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [02:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 129 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [02:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [02:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [02:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [02:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [02:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [02:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml
tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: PRN m1: Glycopyrrolate f1: INJ v1: 0.6 u1: mg tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: PRN m1: Neostigmine f1: INJ v1: 3 u1: mg tf: [15:00:00 02/12/2009] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Nitroglycerin f1: INJ v1: 100 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [15:00:00 02/12/2009] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Phenylephrine HCl f1: VIAL v1: 240 u1: mg m2: D5W f2: INJ v2: 250 u2: ml tf: [15:00:00 02/12/2009] pt: IV Piggyback rt: IV fr: PRN dn: 1 m1: Magnesium Sulfate f1: INJ v1: 2 u1: gm m2: D5W f2: INJ v2: 100 u2: ml tf: [15:00:00 02/12/2009] pt: Unit Dose rt: IV fr: PRN m1: Calcium Gluconate f1: INJ v1: 2 u1: gm
t0: [02:06:00 24/11/2009] id: Vancomycin/Trough Drug Level el: 0 cu: CSRU cg: 3161 v1: 8.8 rs: Final st: NotStopd
t0: [03:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [03:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [03:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [03:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [03:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [03:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [03:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [03:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [03:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [03:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [03:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [03:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [03:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Plug st: NotStopd t0: [04:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd
tf: [11:00:00 24/11/2009] pt: Unit Dose rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [07:00:00 25/11/2009] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml tf: [13:00:00 25/11/2009] pt: IV Piggyback rt: IV DRIP fr: TITRATE TO m1: Propofol (Generic) f1: INJ v1: 1000 u1: mg m2: Soln. f2: INJ v2: 100 u2: ml tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: PRN m1: Meperidine f1: SYR v1: 12.5 u1: mg tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Midazolam HCl f1: INJ v1: 1-2 u1: mg tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: Q2H:PRN m1: Morphine Sulfate f1: SYR v1: 0.5-4.0 u1: mg tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: Q6H fs: 12, 18, 0, 6 dn: 4 m1: Metoprolol f1: INJ v1: 7.5 u1: mg tf: [13:00:00 25/11/2009] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [12:00:00 26/11/2009] pt: IV Piggyback rt: IV fr: INFUSION dn: 1 m1: Amiodarone HCl f1: INJ v1: 600 u1: mg m2: D5W (EXCEL BAG) f2: INJ v2: 250 u2: ml tf: [09:00:00 29/11/2009] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate f1: INJ v1: 2500 u1: mcg tf: [09:00:00 29/11/2009] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Fentanyl Citrate f1: INJ v1: 2500 u1: mcg m2: D5W f2: INJ v2: 250 u2: ml tf: [09:00:00 01/12/2009] pt: Unit Dose rt: OU fr: PRN m1: Lacri-Lube Oint f1: OOINT v1: 1 u1: Appl tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q12H fs: 02, 14 dn: 2 m1: Vancomycin HCl f1: INJ v1: 500 u1: mg m2: D5W f2: INJ v2: 150 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q12H fs: 10, 22 dn: 2 m1: Vancomycin HCl f1: INJ v1: 500 u1: mg m2: D5W f2: INJ v2: 150 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q8H fs: 06, 14, 22 dn: 3 m1: Clindamycin f1: BAG v1: 600 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q8H fs: 08, 16, 00 dn: 3 m1: Clindamycin f1: BAG v1: 600 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q8H fs: 08, 16, 24 dn: 3 m1: Clindamycin f1: BAG v1: 600 u1: mg m2: D5W f2: INJ v2: 50 u2: ml tf: [15:00:00 02/12/2009] pt: IV Piggyback rt: IV DRIP fr: INFUSION m1: Humulin-R Insulin f1: INJ v1: 100 u1: UNIT m2: NS f2: INJ v2: 100 u2: ml tf: [15:00:00 02/12/2009] pt: Unit Dose rt: IH fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Ipratropium Bromide Neb f1: VIAL v1: 1 u1: NEB tf: [15:00:00 02/12/2009] pt: Unit Dose rt: IH fr: Q6H:PRN m1: Albuterol Neb Soln f1: INH v1: 1 u1: NEB tf: [15:00:00 02/12/2009] pt: Unit Dose rt: NG fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Sucralfate f1: TAB v1: 1 u1: gm tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: Q4-6H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen f1: TAB v1: 650 u1: mg tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PR fr: Q4H:PRN m1: Acetaminophen (Rectal) f1: SUPP v1: 650 u1: mg tf: [15:00:00 02/12/2009] pt: Unit Dose rt: SC fr: Q12H fs: 4, 16 dn: 2 m1: Enoxaparin Sodium f1: SYR v1: 30 u1: mg tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: IV fr: PRN m1: Potassium Chloride f1: BAG v1: 40 u1: mEq m2: SW f2: INJ v2: 100 u2: ml tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IH fr: Q4H:PRN m1: Albuterol-Ipratropium f1: AERO v1: 2 u1: PUFF tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Metoclopramide f1: INJ v1: 5 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: Q6H fs: 4, 10, 16, 22 dn: 4 m1: Metoprolol f1: INJ v1: 5 u1: mg
t0: [04:00:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 27.5591 u1: ml/cmH st: NotStopd t0: [04:00:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.1 st: NotStopd t0: [04:00:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 7 st: NotStopd t0: [04:00:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 16.5 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 9.4 u1: L/min st: NotStopd t0: [04:00:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [04:00:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 35.4 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [04:00:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [04:00:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [04:14:00 24/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 50 u1: mmHg rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 75 u1: mmHg rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.28 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [04:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 24/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [04:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 24/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN v1: 60 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [04:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [04:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 24/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN v1: mA v2: 6 u2: V-mA st: NotStopd t0: [04:00:00 24/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN v1: 10 v2: 0.5 st: NotStopd t0: [04:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [04:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 7 u1: BPM st: NotStopd t0: [04:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [04:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [04:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [04:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [04:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [04:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [04:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [05:00:00 24/11/2009] id: ETT Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [05:00:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [05:00:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [05:00:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [05:00:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [05:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd
t0: [04:00:00 24/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.8 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.3 u1: % rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.7 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 110 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.66 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 7.8 rs: Final st: NotStopd t0: [04:14:00 24/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.3076 u1: ml/dl st: NotStopd t0: [05:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [05:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [05:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 151 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [05:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [05:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 13 u1: BPM st: NotStopd t0: [05:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [05:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml
t0: [05:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 24/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [04:00:00 24/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [06:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 102 u1: BPM st: NotStopd t0: [06:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 169 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [06:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg st: NotStopd t0: [06:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [06:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml t0: [06:00:00 24/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [06:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [06:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [06:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 24/11/2009] id: Vancomycin/Random Drug Level el: 0 cu: CSRU cg: 3161 v1: 17.6 rs: Final st: NotStopd
t0: [08:00:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30.4348 u1: ml/cmH st: NotStopd t0: [08:00:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.6 st: NotStopd t0: [08:00:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 24/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [08:00:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [08:00:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 7 st: NotStopd t0: [08:00:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 16.9 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [08:00:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [08:00:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 33 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [08:00:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 810 u1: ml/B st: NotStopd t0: [08:00:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [08:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
tf: [13:00:00 25/11/2009] pt: Unit Dose rt: IV fr: ONCE MR1 fs: 0 dn: 1 m1: Metoprolol f1: INJ v1: 2.5 u1: mg tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 3 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 6 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [15:00:00 01/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 8 dn: 1 m1: Levofloxacin f1: BAG v1: 500 u1: mg m2: Dextrose 5% f2: INJ v2: 100 u2: ml tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: BID fs: 10, 18, 22 dn: 2 m1: Furosemide f1: INJ v1: 40 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 8 dn: 1 m1: Metoprolol f1: INJ v1: 5 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: TID fs: 08, 16, 22 dn: 3 m1: Furosemide f1: INJ v1: 20 u1: mg
t0: [08:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [08:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 102 u1: BPM st: NotStopd t0: [09:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 148 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [09:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [09:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [09:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 10 vu: ml t0: [08:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 25 vu: ml t0: [08:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 3 vu: ml t0: [08:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [08:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 450 vu: ml t0: [09:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [09:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [09:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [09:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [08:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml
t0: [09:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [09:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [08:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [08:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 24/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding v2: Bilious st: NotStopd t0: [08:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [08:00:00 24/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 24/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 24/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 24/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [08:00:00 24/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [08:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 24/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 24/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [08:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [08:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [08:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [08:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [08:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [08:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 24/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [08:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [08:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [08:00:00 24/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [08:00:00 24/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [09:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 15 degrees st: NotStopd t0: [09:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [09:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 38.6667 u1: Deg. C st: NotStopd t0: [09:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 101.6 u1: Deg. F st: NotStopd t0: [09:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 24/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 114 rs: Manual st: NotStopd
tf: [13:00:00 25/11/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 18 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg tf: [15:00:00 02/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 0 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 18 dn: 2 m1: Docusate Sodium f1: CAP v1: 100 u1: mg tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 18 dn: 2 m1: Docusate Sodium (Liquid) f1: LIQ v1: 100 u1: mg tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC f1: TAB v1: 325 u1: mg tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin f1: TAB v1: 325 u1: mg tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 10 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: IV fr: Q24H fs: 24 dn: 1 m1: Pantoprazole Sodium f1: INJ v1: 40 u1: mg m2: NS f2: INJ v2: 100 u2: ml
t0: [10:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Tan v2: Thick st: NotStopd t0: [10:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd
t0: [08:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 24/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 24/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 24/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 24/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: RN u1: BPM st: NotStopd t0: [08:00:00 24/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: RN u2: V-mA st: NotStopd t0: [08:00:00 24/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: RN st: NotStopd t0: [08:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [10:00:00 24/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [10:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 112 u1: BPM st: NotStopd t0: [10:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 133 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [10:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [10:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [10:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/11/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 30 vu: ml t0: [10:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [10:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [10:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [10:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [10:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 24/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: -1 cv: 30 ap: none
t0: [11:00:00 24/11/2009] id: D5W 250.0ml IV Infusions el: 2 cu: CSRU cg: -1 ai: 110 vo: 0 st: D/C'd
t0: [09:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [10:45:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:45:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:45:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:45:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:45:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 91 u1: BPM st: NotStopd t0: [10:45:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:45:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [10:45:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [10:45:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [10:45:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [10:45:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:45:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [10:45:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 92 u1: % st: NotStopd t0: [10:45:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [11:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [11:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 56.3333 u1: mmHg st: NotStopd t0: [11:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [11:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 53 u1: mmHg st: NotStopd t0: [11:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [11:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 24/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 124 vo: 5 vu: ml t0: [11:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [11:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [11:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [11:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 28 vu: ml
t0: [10:45:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:45:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 24/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [11:15:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:15:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:15:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:15:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:15:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [11:15:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:15:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [11:15:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [11:15:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 89 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [11:15:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:15:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:15:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [11:15:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:15:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:30:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:30:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:30:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:30:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [11:30:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:30:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 95 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:30:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 63.6667 u1: mmHg st: NotStopd t0: [11:30:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [11:30:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [11:30:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:30:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [11:30:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:30:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:15:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:15:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:15:00 24/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:30:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:30:00 24/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [12:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [12:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 69 u1: mmHg st: NotStopd t0: [12:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [12:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [12:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 24/11/2009] tf: [13:01:00 25/11/2009] dt: 1561 id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 1 vu: ml t0: [12:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [12:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [12:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [12:00:00 24/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 5.39375 vu: ml t0: [12:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [12:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 24/11/2009] id: Neosynephrine-k el: 2 cu: CSRU so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Sedated st: NotStopd t0: [12:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [12:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd
t0: [12:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 24/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding v2: Bilious st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [12:00:00 24/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 24/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 24/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 24/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [12:00:00 24/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 24/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [12:00:00 24/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 24/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 24/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 24/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [12:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [12:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 24/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Very Limited st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Adequate st: NotStopd t0: [12:00:00 24/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [12:00:00 24/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [13:18:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28 u1: ml/cmH st: NotStopd t0: [13:18:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [13:18:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [13:18:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [13:18:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.6 st: NotStopd t0: [13:18:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [13:18:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [13:18:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [13:18:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 7 st: NotStopd t0: [13:18:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [13:18:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 16.5 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.9 u1: L/min st: NotStopd t0: [13:18:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [13:18:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 35 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [13:18:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [13:18:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [13:18:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:18:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [13:18:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [13:18:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 95 u1: % st: NotStopd t0: [13:18:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [13:18:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [13:18:00 24/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [13:18:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [13:18:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [13:18:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [13:18:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [13:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [13:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [13:00:00 24/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 5.39375 vu: ml t0: [13:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml t0: [14:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml nb: 1 t0: [14:00:00 24/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 10 vu: ml t0: [14:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [14:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [14:00:00 24/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: RN ai: 113 vo: 5.39375 vu: ml t0: [14:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [13:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [13:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [13:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [13:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [13:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [13:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [13:30:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:30:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:30:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:30:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [13:30:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [13:30:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 160 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [13:30:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg st: NotStopd t0: [13:30:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:30:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [13:30:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [13:30:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:00:00 24/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [14:00:00 24/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [14:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [14:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [14:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [14:00:00 24/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [14:00:00 24/11/2009] id: Pain Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [14:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [14:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [14:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [14:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [14:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [14:28:00 24/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 53 u1: mmHg rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 71 u1: mmHg rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.39 rs: Final st: NotStopd
t0: [13:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 24/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 1 du: mcgkgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:30:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [14:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [13:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [14:28:00 24/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.2952 u1: ml/dl st: NotStopd t0: [14:28:00 24/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd t0: [14:28:00 24/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 95 u1: % rs: Final st: NotStopd
t0: [14:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [14:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [14:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [14:00:00 24/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [14:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding v2: Bilious st: NotStopd t0: [14:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [14:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [14:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [14:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [14:00:00 24/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 1 st: NotStopd t0: [14:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [14:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [14:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [14:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [14:00:00 24/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [14:00:00 24/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [14:00:00 24/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 2 mm v2: 2 mm st: NotStopd t0: [14:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [14:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [14:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [14:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [14:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [14:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [14:00:00 24/11/2009] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [14:00:00 24/11/2009] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [14:00:00 24/11/2009] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [14:00:00 24/11/2009] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/11/2009] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [14:00:00 24/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [14:00:00 24/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [14:00:00 24/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [14:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [14:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [14:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [14:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [14:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [14:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd
t0: [13:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [13:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [13:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [13:00:00 24/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [13:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [13:00:00 24/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [13:00:00 24/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [13:00:00 24/11/2009] id: WarmingDevice/Status el: 0 cu: CSRU cg: RN v2: Off st: NotStopd
t0: [14:00:00 24/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [14:00:00 24/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 24/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 24/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [14:00:00 24/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [14:00:00 24/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 24/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [14:00:00 24/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [14:00:00 24/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [14:00:00 24/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [14:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [14:50:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 23.7288 u1: ml/cmH st: NotStopd t0: [14:50:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [14:50:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [14:50:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 20 u1: BPM st: NotStopd t0: [14:50:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.1 st: NotStopd t0: [14:50:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [14:50:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [14:50:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [14:50:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 7 st: NotStopd t0: [14:50:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 21 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [14:50:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [14:50:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 42 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 32 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [14:50:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [14:50:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [14:50:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [14:50:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [14:50:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [14:50:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 92 u1: % st: NotStopd t0: [14:50:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [14:50:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [14:50:00 24/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [14:50:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [14:50:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [14:50:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [14:50:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: QID:PRN m1: Nystatin Oral Susp. f1: SUSP v1: 5 u1: ml
t0: [15:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [15:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [15:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 73.3333 u1: mmHg st: NotStopd t0: [15:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [15:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [15:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [15:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [15:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [15:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [15:00:00 24/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 5.39375 vu: ml t0: [15:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 320 vu: ml
t0: [15:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:33:00 24/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25.5 u1: % rs: Final st: NotStopd
t0: [16:04:00 24/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 45 u1: mmHg rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 84 u1: mmHg rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [16:04:00 24/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.24 rs: Final st: NotStopd
t0: [16:04:00 24/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 11.6852 u1: ml/dl st: NotStopd t0: [16:04:00 24/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [16:00:00 24/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 24/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: -1 v1: Non-verbal cues st: NotStopd t0: [16:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [16:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 24/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: Rare st: NotStopd t0: [16:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: PAC's st: NotStopd t0: [16:00:00 24/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [16:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 24/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 24/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [16:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Introducer v2: Right IJ st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 24/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 24/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 24/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [16:00:00 24/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 24/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [16:00:00 24/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 24/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Good st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 24/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [16:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Arouse to Voice st: NotStopd t0: [16:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [16:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 72.3333 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Thrush st: NotStopd t0: [16:00:00 24/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Other/Remarks st: NotStopd t0: [16:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [16:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [16:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [16:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 147 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [16:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [16:00:00 24/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [16:00:00 24/11/2009] id: Pain Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [16:00:00 24/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 24/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [16:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 24/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [16:00:00 24/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 3 mm v2: 3 mm st: NotStopd t0: [16:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 15 u1: BPM st: NotStopd t0: [16:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 24/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [16:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [16:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [16:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [16:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 24/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [16:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Bedfast st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: Potential Prob st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Rarely Moist st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [16:00:00 24/11/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 15 u1: number st: NotStopd t0: [16:00:00 24/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [16:30:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [16:30:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd
t0: [16:00:00 24/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 150 vu: ml t0: [16:00:00 24/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 124 vo: 3 vu: ml t0: [16:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [16:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [16:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [16:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 285 vu: ml
t0: [16:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 24/11/2009] id: Procedures el: 0 cu: CSRU cg: -1 v1: Culture/remarks st: NotStopd
t0: [12:33:00 24/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd
t0: [17:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [17:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 61.6667 u1: mmHg st: NotStopd t0: [17:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [17:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [17:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [17:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [17:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [17:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [17:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:41:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 24.5614 u1: ml/cmH st: NotStopd t0: [17:41:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:41:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:41:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 30 u1: BPM st: NotStopd t0: [17:41:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:1.9 st: NotStopd t0: [17:41:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:41:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:41:00 24/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT u1: Deg. C st: NotStopd t0: [17:41:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [17:41:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 7 st: NotStopd t0: [17:41:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 18.9 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.5 u1: L/min st: NotStopd t0: [17:41:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 12.5 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 65 u1: L/m st: NotStopd t0: [17:41:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 41 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 37 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [17:41:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [17:41:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: BPM st: NotStopd t0: [17:41:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:41:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 16 u1: BPM st: NotStopd t0: [17:41:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:41:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 98 u1: % st: NotStopd t0: [17:41:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [17:41:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 700 u1: ml/B st: NotStopd t0: [17:41:00 24/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 0 u1: ml/B st: NotStopd t0: [17:41:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [17:41:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [17:41:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [17:41:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [18:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [18:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 131 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [18:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 88 u1: mmHg st: NotStopd t0: [18:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [18:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1667 u1: Deg. C st: NotStopd t0: [18:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.9 u1: Deg. F st: NotStopd t0: [18:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [18:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [18:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [18:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 38 vu: ml
t0: [18:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 24/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd
t0: [19:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [19:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [19:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: -1 v1: 65.6667 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [19:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [19:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [19:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [19:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: -1 ai: 416 vo: 1.5 vu: ml t0: [19:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 20 vu: ml t0: [19:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [19:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [20:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [20:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [20:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 20 vu: ml
t0: [20:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 24/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 24/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 24/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd
t0: [20:00:00 24/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 26.616 u1: ml/cmH st: NotStopd t0: [20:00:00 24/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 24/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 24/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:2.1 st: NotStopd t0: [20:00:00 24/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [20:00:00 24/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 24/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 24/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [20:00:00 24/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 24/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 24 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 11.4 u1: L/min st: NotStopd t0: [20:00:00 24/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 12.5 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [20:00:00 24/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 38.8 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 34 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 24/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [20:00:00 24/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [20:00:00 24/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 24/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 24/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [20:00:00 24/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [20:00:00 24/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [20:00:00 24/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [21:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [21:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [21:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 71.3333 u1: mmHg st: NotStopd t0: [21:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [21:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [21:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [21:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [21:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [21:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [21:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [22:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [22:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [22:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [22:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [22:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [22:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [22:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [22:00:00 24/11/2009] id: .9% Normal Saline 50.0ml + 2500mcghr Fentanyl IV Infusions el: 1 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [22:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [22:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [22:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 24/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/11/2009] id: Education Barrier el: 0 cu: CSRU cg: RN v1: Medicated st: NotStopd t0: [20:00:00 24/11/2009] id: Education Learner el: 0 cu: CSRU cg: RN v1: Patient st: NotStopd t0: [20:00:00 24/11/2009] id: Education Method el: 0 cu: CSRU cg: RN v1: Explanation st: NotStopd t0: [20:00:00 24/11/2009] id: Education Readiness el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 24/11/2009] id: Education Response el: 0 cu: CSRU cg: RN v1: Reinforced st: NotStopd t0: [20:00:00 24/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 24/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 24/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 24/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 24/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 24/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 24/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 24/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 24/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 24/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 24/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 24/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [20:00:00 24/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 24/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Thrush st: NotStopd t0: [20:00:00 24/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 24/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 24/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 24/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 24/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 24/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 24/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [20:00:00 24/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 24/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 24/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 24/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 24/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 24/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 24/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 24/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 24/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 24/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd t0: [20:00:00 24/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 24/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [23:00:00 24/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 24/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 24/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 24/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [23:00:00 24/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 24/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [23:00:00 24/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 24/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [23:00:00 24/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 24/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [23:00:00 24/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 24/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 24/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 24/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 24/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 24/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 24/11/2009] tf: [15:00:00 29/11/2009] dt: 6720 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [23:00:00 24/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [23:00:00 24/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [23:00:00 24/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 100 cv: 100 ap: none t0: [23:00:00 24/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -61 cv: -61 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 19 cv: 1278.57 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 39 cv: 1778.58 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 20 cv: 470 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 100 cv: 2381 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -61 cv: -602.425 ap: none t0: [23:00:00 24/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 100 cv: 2381 ap: none t0: [23:00:00 24/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -61 cv: -1741.52 ap: none
t0: [20:00:00 24/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [20:00:00 24/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 7 st: NotStopd t0: [00:00:00 25/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 29.0456 u1: ml/cmH st: NotStopd t0: [00:00:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:2.2 st: NotStopd t0: [00:00:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [00:00:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 25/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [00:00:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 7 st: NotStopd t0: [00:00:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 20 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 12 u1: L/min st: NotStopd t0: [00:00:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 12.5 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [00:00:00 25/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 36.6 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 22.4 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [00:00:00 25/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 0 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 98 u1: % st: NotStopd t0: [00:00:00 25/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 25/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [00:00:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [00:00:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [00:00:00 25/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [00:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [00:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [00:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [00:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [00:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [00:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 25/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 70 cv: 70 ap: none t0: [23:00:00 25/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -7.5 cv: -7.5 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 22.5 cv: 1401 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 62.5 cv: 2031 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 630 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 70 cv: 2075 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -7.5 cv: -44 ap: none t0: [23:00:00 25/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 70 cv: 2075 ap: none t0: [23:00:00 25/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -7.5 cv: -1785.52 ap: none
t0: [01:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [01:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.6667 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 123 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [01:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [01:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [01:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [01:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [02:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [02:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68.6667 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [02:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 300 vu: ml t0: [02:00:00 25/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [02:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [02:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 3 vu: ml t0: [02:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [02:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [01:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
id: Fentanyl el: 202 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions am: 2500 du: mcghr rt: IV Drip
io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ra: 7.5 ru: ml/hr
id: .9% Normal Saline el: 2 cu: CSRU cg: RN io: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions vo: 250 du: ml rt: Intravenous Push
t0: [03:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [03:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66.6667 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [03:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 1.5 vu: ml t0: [03:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [03:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [03:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Lethargic st: NotStopd t0: [00:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [02:00:00 25/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [02:00:00 25/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [02:00:00 25/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [02:00:00 25/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [02:00:00 25/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 25/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [03:00:00 25/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [03:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [03:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [03:00:00 25/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 25/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [03:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [03:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [03:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [03:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [03:00:00 25/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [03:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [03:00:00 25/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [03:00:00 25/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [03:00:00 25/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [03:00:00 25/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 25/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [03:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [03:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [03:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1 No Response st: NotStopd
t0: [04:00:00 25/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 28.5714 u1: ml/cmH st: NotStopd t0: [04:00:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:2.5 st: NotStopd t0: [04:00:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [04:00:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 25/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [04:00:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 7 st: NotStopd t0: [04:00:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 15 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 20.8 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 10.7 u1: L/min st: NotStopd t0: [04:00:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 12.5 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [04:00:00 25/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 37 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 34.4 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [04:00:00 25/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 1 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 17 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 100 u1: % st: NotStopd t0: [04:00:00 25/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 25/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [04:00:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [04:00:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [04:00:00 25/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [23:00:00 24/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 24/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.7778 u1: Deg. C st: NotStopd t0: [23:00:00 24/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100 u1: Deg. F st: NotStopd t0: [04:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [04:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 75.3333 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [04:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [04:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [04:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.5556 u1: Deg. C st: NotStopd t0: [04:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 101.4 u1: Deg. F st: NotStopd t0: [04:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [05:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [05:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [05:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [05:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 25 vu: ml t0: [05:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 15 vu: ml t0: [05:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [05:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:43:00 25/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd t0: [04:43:00 25/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [04:43:00 25/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [04:43:00 25/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 25/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 138 u1: mmHg rs: Final st: NotStopd t0: [04:43:00 25/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.5 rs: Final st: NotStopd
t0: [04:43:00 25/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd
t0: [05:07:00 25/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 23.9 u1: % rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.2 u1: gm/dl rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 147 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.53 u1: /mic l rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 rs: Final st: NotStopd
t0: [21:00:00 24/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 24/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 24/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 24/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 24/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [02:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [06:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [06:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [06:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [06:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [06:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [06:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [06:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml
t0: [06:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 24/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [20:00:00 24/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 24/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 24/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 24/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 24/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 24/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 24/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd
t0: [20:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [20:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [23:00:00 24/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [23:00:00 24/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [03:00:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [03:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [03:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [03:00:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [03:00:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd
t0: [06:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [05:07:00 25/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [05:07:00 25/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [07:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 73.3333 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [07:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [07:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [07:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [07:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [07:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [07:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [07:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [07:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [07:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [07:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [07:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.3889 u1: Deg. C st: NotStopd t0: [07:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 101.1 u1: Deg. F st: NotStopd
t0: [07:20:00 25/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 26.4151 u1: ml/cmH st: NotStopd t0: [07:20:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:20:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:20:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 65 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:20:00 25/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.1 st: NotStopd t0: [07:20:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [07:20:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:20:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [07:20:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 8 st: NotStopd t0: [07:20:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:20:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 21.9 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.6 u1: L/min st: NotStopd t0: [07:20:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [07:20:00 25/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 39 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 35.8 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:20:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [07:20:00 25/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 0 u1: BPM st: NotStopd t0: [07:20:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:20:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 16 u1: BPM st: NotStopd t0: [07:20:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:20:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:20:00 25/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 740 u1: ml/B st: NotStopd t0: [07:20:00 25/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [07:20:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [07:20:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [07:20:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [07:20:00 25/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: PB fr: PRN m1: Potassium Chloride f1: BAG v1: 20 u1: mEq m2: SW f2: INJ v2: 50 u2: ml
t0: [08:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 25/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [08:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [08:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 25/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [08:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [08:00:00 25/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 25/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 25/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 25/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [08:00:00 25/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [08:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 25/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 25/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 25/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 25/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 25/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [08:00:00 25/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 25/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [08:00:00 25/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [08:00:00 25/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [08:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [08:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.6667 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [08:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [08:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [08:00:00 25/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [08:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [08:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [08:00:00 25/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [08:00:00 25/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 25/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [08:00:00 25/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [08:00:00 25/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3333 u1: Deg. C st: NotStopd t0: [08:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.2 u1: Deg. F st: NotStopd t0: [08:00:00 25/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 25/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 25/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [08:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [08:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [08:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [08:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [08:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.25 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [09:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [09:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [09:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [09:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [09:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [09:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 25/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 0 vu: ml t0: [09:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [09:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [09:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [09:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [09:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [09:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [08:00:00 25/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 25/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [10:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [10:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [10:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [10:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [10:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [10:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [10:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [10:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [10:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [10:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [10:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [10:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.3 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [10:15:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [10:15:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd
t0: [11:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [11:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 70.6667 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [11:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [11:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [11:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [11:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [11:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [11:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [11:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.15 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:05:00 25/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 33.0189 u1: ml/cmH st: NotStopd t0: [12:05:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:05:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:05:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 65 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:05:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:05:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:05:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [12:05:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 8 st: NotStopd t0: [12:05:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:05:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 19 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.5 u1: L/min st: NotStopd t0: [12:05:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 65 u1: L/m st: NotStopd t0: [12:05:00 25/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 31.2 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:05:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [12:05:00 25/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 5 u1: BPM st: NotStopd t0: [12:05:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [12:05:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [12:05:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:05:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [12:05:00 25/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 720 u1: ml/B st: NotStopd t0: [12:05:00 25/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [12:05:00 25/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [12:05:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [12:05:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [12:05:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [12:05:00 25/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [11:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [11:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [11:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [11:00:00 25/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [11:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [11:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [12:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 25/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [12:00:00 25/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 25/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [12:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 25/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [12:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 25/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [12:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 25/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 25/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 25/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 25/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 25/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 25/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [12:00:00 25/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [12:00:00 25/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [12:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [12:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [12:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [12:00:00 25/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [12:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 125 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [12:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [12:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [12:00:00 25/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 25/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 25/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [12:00:00 25/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [12:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [12:00:00 25/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [12:00:00 25/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.4444 u1: Deg. C st: NotStopd t0: [12:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.4 u1: Deg. F st: NotStopd t0: [12:00:00 25/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 25/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [10:00:00 25/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [11:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [12:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [12:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [12:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 20 vu: ml t0: [12:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [12:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 75 du: mcghr sv: 50 su: ml rt: IV Drip t0: [12:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [12:17:00 25/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 46 u1: mmHg rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 26 u1: % rs: Final st: NotStopd t0: [12:17:00 25/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [12:00:00 25/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 143 rs: Manual st: NotStopd t0: [13:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [13:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [13:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [13:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [13:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 10 u1: BPM st: NotStopd t0: [13:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [13:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 25/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [13:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 7.5 vu: ml t0: [13:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [13:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [13:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [13:00:00 25/11/2009] id: Neosynephrine-k el: 2 cu: CSRU cg: RN so: D5W vo: 0 v1: 0 du: mcgkgmin sv: 250 su: ml rt: IV Drip
t0: [13:01:00 25/11/2009] id: D5W 250.0ml + 240mcgkgmin Neosynephrine-k IV Infusions el: 1 cu: CSRU cg: -1 ai: 113 vo: 0 st: D/C'd
t0: [13:30:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10.6 u1: L/min st: NotStopd t0: [13:30:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [13:30:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [13:30:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [13:30:00 25/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [13:30:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [14:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [14:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 25/11/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [14:00:00 25/11/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [14:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [14:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [14:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [14:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [14:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [14:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [14:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 25/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 25/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [09:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [11:00:00 25/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [11:00:00 25/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [15:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [15:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [15:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [15:00:00 25/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 155 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [15:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [15:00:00 25/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [15:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [15:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [15:00:00 25/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [15:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [15:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [15:00:00 25/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [15:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [15:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [15:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [15:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 200 vu: ml
t0: [15:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:27:00 25/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 77 u1: mmHg rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [15:27:00 25/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.13 rs: Final st: NotStopd
t0: [15:00:00 25/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: -1 v1: 147 rs: Manual st: NotStopd
t0: [16:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 25/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 25/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 25/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 25/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [16:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Introducer v2: Right IJ st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 25/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 25/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 25/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 25/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 25/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 25/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 25/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 25/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 25/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 25/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 25/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 25/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 25/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 25/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [16:00:00 25/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [16:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 25/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [16:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 25/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [16:00:00 25/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 25/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [16:00:00 25/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [16:00:00 25/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5556 u1: Deg. C st: NotStopd t0: [16:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.6 u1: Deg. F st: NotStopd t0: [16:00:00 25/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 25/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [16:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [16:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [16:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:15:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:15:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:15:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:15:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:15:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:15:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:15:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:15:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 8 st: NotStopd t0: [16:15:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 15 u1: cmH2O st: NotStopd t0: [16:15:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:15:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 13.4 u1: cmH2O st: NotStopd t0: [16:15:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.4 u1: L/min st: NotStopd t0: [16:15:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:15:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [16:15:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [16:15:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:15:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [16:15:00 25/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 660 u1: ml/B st: NotStopd t0: [16:15:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:15:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:15:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [17:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [17:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [17:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 91 u1: % st: NotStopd t0: [17:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 25/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [17:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [17:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 190 vu: ml
t0: [17:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 25/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [18:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 25/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 25/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 25/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [18:00:00 25/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 25/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [18:00:00 25/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [18:00:00 25/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 25/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [18:00:00 25/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [18:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [18:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [18:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [18:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [18:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [18:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [10:00:00 29/11/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Metoprolol f1: TAB v1: 25 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 18 dn: 2 m1: Metoprolol f1: TAB v1: 12.5 u1: mg
t0: [19:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 25/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [19:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [19:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [19:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [19:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 92 u1: % st: NotStopd t0: [19:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 30 vu: ml t0: [19:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [19:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [19:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White st: NotStopd t0: [19:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd
t0: [20:00:00 25/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 22.5806 u1: ml/cmH st: NotStopd t0: [20:00:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 25/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 25/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:1.7 st: NotStopd t0: [20:00:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [20:00:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [20:00:00 25/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [20:00:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [20:00:00 25/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 6 st: NotStopd t0: [20:00:00 25/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 25/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 14.2 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 19.3 u1: L/min st: NotStopd t0: [20:00:00 25/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [20:00:00 25/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 41 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 29 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [20:00:00 25/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 17 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 29 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: CRT v1: 95 u1: % st: NotStopd t0: [20:00:00 25/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 25/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [20:00:00 25/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: CRT v1: 520 u1: ml/B st: NotStopd t0: [20:00:00 25/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [20:00:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [20:00:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [20:00:00 25/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [20:00:00 25/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd
t0: [20:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 25/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 25/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 25/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 25/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 15 degrees st: NotStopd t0: [20:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 108 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [20:00:00 25/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 25/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 25/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 25/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 25/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 25/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 25/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 25/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 25/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 25/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 25/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [20:00:00 25/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [20:00:00 25/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 25/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [20:00:00 25/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 181 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [20:00:00 25/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [20:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg st: NotStopd t0: [20:00:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 25/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 25/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 25/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 25/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 25/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 25/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 25/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [20:00:00 25/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.5 u1: Deg. F st: NotStopd t0: [20:00:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [20:00:00 25/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 25/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 25/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 25/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 25/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 25/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 25/11/2009] tf: [16:00:00 26/11/2009] dt: 1200 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 10 vu: ml t0: [20:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml
t0: [20:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [21:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 25/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 25/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 99 u1: BPM st: NotStopd t0: [21:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 25/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [21:00:00 25/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 25/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [21:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 121 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [21:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [21:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [21:00:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Tenacious st: NotStopd t0: [21:00:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 25/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [21:00:00 25/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [21:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 25/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 136 rs: Manual st: NotStopd
t0: [21:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [21:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [21:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [21:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 25/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [22:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [22:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [22:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [22:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [22:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [22:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 99 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 25/11/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [22:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [22:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [22:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [22:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [22:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [22:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [22:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [22:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [22:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [22:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [22:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [22:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 25/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 25/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 25/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 25/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 25/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 25/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 64 u2: mmHg st: NotStopd t0: [23:00:00 25/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg st: NotStopd t0: [23:00:00 25/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 25/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 25/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [23:00:00 25/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 26/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 26/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 26/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [00:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [00:00:00 26/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 168 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [00:00:00 26/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [00:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg st: NotStopd t0: [00:00:00 26/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [00:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 26/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 26/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 26/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [00:00:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:00:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2778 u1: Deg. C st: NotStopd t0: [00:00:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.1 u1: Deg. F st: NotStopd t0: [00:00:00 26/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 25/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [23:00:00 25/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [00:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [00:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 25/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 25/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [23:00:00 25/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 25/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [23:00:00 25/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [00:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [00:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [00:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [00:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [00:00:00 26/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 27.8884 u1: ml/cmH st: NotStopd t0: [00:00:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:1.8 st: NotStopd t0: [00:00:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [00:00:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [00:00:00 26/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [00:00:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [00:00:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 6 st: NotStopd t0: [00:00:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 12.2 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 12.5 u1: L/min st: NotStopd t0: [00:00:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [00:00:00 26/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 35.1 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 34 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [00:00:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [00:00:00 26/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 7 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 19 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [00:00:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 26/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 26/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [00:00:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: CRT v1: 490 u1: ml/B st: NotStopd t0: [00:00:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [00:00:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [00:00:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [00:00:00 26/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [23:30:00 25/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [23:30:00 25/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [23:30:00 25/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [23:30:00 25/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [23:30:00 25/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [23:30:00 25/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [23:30:00 25/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [00:00:00 26/11/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 26/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [00:00:00 26/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 26/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 26/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 26/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [00:00:00 26/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 26/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 26/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 26/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 26/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [00:00:00 26/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [00:00:00 26/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 26/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 26/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 26/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 26/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 26/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 26/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 26/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 26/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [00:00:00 26/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [00:00:00 26/11/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 26/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 26/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 26/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 26/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [00:00:00 26/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 26/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 26/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 26/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 26/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 26/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Sl. Limited st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Adequate st: NotStopd t0: [00:00:00 26/11/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 18 u1: number st: NotStopd t0: [00:00:00 26/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: No Impairment st: NotStopd t0: [01:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [01:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [01:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 11 u1: BPM st: NotStopd t0: [01:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [01:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 26/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [00:30:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [01:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [01:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [01:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [01:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [02:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 136 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [02:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [02:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [02:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [02:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [02:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [02:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:30:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [03:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [03:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 127 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [03:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [03:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [03:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [03:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [03:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [03:30:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:30:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:30:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:30:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 97 u1: BPM st: NotStopd t0: [03:30:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:30:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [03:30:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [03:30:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:30:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [03:30:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [03:30:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [03:30:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.8889 u1: Deg. C st: NotStopd t0: [03:30:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 102 u1: Deg. F st: NotStopd t0: [03:30:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 120 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 184 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [04:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [04:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [04:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:30:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [03:30:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [04:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 26/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: CRT v1: 27.2374 u1: ml/cmH st: NotStopd t0: [04:00:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: CRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: CRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 65 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: CRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: CRT v1: 1:2.0 st: NotStopd t0: [04:00:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: CRT v1: 8.0 mm st: NotStopd t0: [04:00:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: CRT v1: Endotracheal st: NotStopd t0: [04:00:00 26/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: CRT u1: Deg. C st: NotStopd t0: [04:00:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: CRT v1: 7 v2: 5 st: NotStopd t0: [04:00:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: CRT v1: 6 st: NotStopd t0: [04:00:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: CRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: CRT v1: 11.9 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: CRT v1: 15.8 u1: L/min st: NotStopd t0: [04:00:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: CRT v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: Peak Flow el: 0 cu: CSRU cg: CRT v1: 65 u1: L/m st: NotStopd t0: [04:00:00 26/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: CRT v1: 35.7 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: CRT v1: 33.1 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: CRT v1: Yes st: NotStopd t0: [04:00:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: CRT v1: 5 u1: . st: NotStopd t0: [04:00:00 26/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: CRT v1: 16 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: CRT v1: 28 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: CRT v1: 12 u1: BPM st: NotStopd t0: [04:00:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: CRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 26/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 26/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: CRT v1: 700 u1: ml/B st: NotStopd t0: [04:00:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: CRT v1: 540 u1: ml/B st: NotStopd t0: [04:00:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: CRT v1: SIMV+PS st: NotStopd t0: [04:00:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: CRT v1: 11 u1: # st: NotStopd t0: [04:00:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: CRT v1: 7200A st: NotStopd t0: [04:00:00 26/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: CRT v1: RAMP st: NotStopd
t0: [03:30:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [03:30:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [03:30:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Fair st: NotStopd t0: [03:30:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [03:30:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd
t0: [04:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [04:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [04:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [03:48:00 26/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [03:48:00 26/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 6 rs: Final st: NotStopd t0: [03:48:00 26/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 32 rs: Final st: NotStopd t0: [03:48:00 26/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [03:48:00 26/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 69 u1: mmHg rs: Final st: NotStopd t0: [03:48:00 26/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd
t0: [04:11:00 26/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 25 u1: % rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 8.4 u1: gm/dl rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 177 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.62 u1: /mic l rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 rs: Final st: NotStopd
t0: [04:11:00 26/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 101 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [04:11:00 26/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd
t0: [04:00:00 26/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 10 vu: ml t0: [05:30:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [05:30:00 26/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [04:00:00 26/11/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [04:00:00 26/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 26/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 26/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 26/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 26/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 26/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [04:00:00 26/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 26/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 26/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 26/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 26/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 26/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 26/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 26/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 26/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 26/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [04:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [04:00:00 26/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [04:00:00 26/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 26/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [04:00:00 26/11/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [04:00:00 26/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 26/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 26/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 26/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 26/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 26/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 26/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 26/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 26/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 26/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [04:00:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 26/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 26/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 26/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 26/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [04:11:00 26/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 160 rs: Final st: NotStopd t0: [04:11:00 26/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd t0: [05:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [05:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [05:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [06:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [06:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [05:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [05:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [06:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [06:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [06:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [05:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [06:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 26/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [04:00:00 26/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 26/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 26/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 26/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [04:00:00 26/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [04:00:00 26/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 26/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: Redness st: NotStopd t0: [06:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [06:00:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd
t0: [07:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [07:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [07:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [07:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [07:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [07:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 26/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [07:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [07:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [07:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [07:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [07:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 26/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 27.451 u1: ml/cmH st: NotStopd t0: [08:00:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 65 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [08:00:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [08:00:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 11.6 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 22.2 u1: L/min st: NotStopd t0: [08:00:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 75 u1: L/m st: NotStopd t0: [08:00:00 26/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 35.5 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [08:00:00 26/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 35 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [08:00:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 26/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 26/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 700 u1: ml/B st: NotStopd t0: [08:00:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 570 u1: ml/B st: NotStopd t0: [08:00:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [08:00:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [08:00:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 26/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 107 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Sinus Tachy st: NotStopd t0: [08:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 153 u1: mmHg v2: 67 u2: mmHg st: NotStopd t0: [08:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 94 u1: mmHg st: NotStopd t0: [08:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 29 u1: BPM st: NotStopd t0: [08:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [08:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [08:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [08:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [08:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [08:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:15:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [08:15:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [09:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [09:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 126 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [09:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [09:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [09:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [09:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [09:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [09:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [09:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [09:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [10:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [10:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [10:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [10:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [10:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 26/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 0 vu: ml t0: [10:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [10:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [10:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [10:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [10:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [10:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:45:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [10:45:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [10:45:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [10:45:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [10:45:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [10:45:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 7.5 u1: cmH2O st: NotStopd t0: [10:45:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [10:45:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [10:45:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [10:45:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [10:45:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [11:00:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd
t0: [11:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [11:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 152 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [11:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg st: NotStopd t0: [11:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [11:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [11:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:06:00 26/11/2009] id: Blood Products Hematology el: 0 cu: CSRU cg: 3161 v1: Y rs: Final st: NotStopd
t0: [11:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [11:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [11:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [11:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [11:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [11:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:45:00 26/11/2009] id: INR (2-4 ref. range) Coags el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [10:45:00 26/11/2009] id: PT(11-13.5) Coags el: 0 cu: CSRU cg: 3161 v1: 14.6 rs: Final st: NotStopd t0: [10:45:00 26/11/2009] id: PTT(22-35) Coags el: 0 cu: CSRU cg: 3161 v1: 29.7 rs: Final st: NotStopd
t0: [11:34:00 26/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 1 rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 94 u1: mmHg rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.44 rs: Final st: NotStopd
t0: [11:34:00 26/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [11:34:00 26/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 0.98 rs: Final st: NotStopd t0: [11:34:00 26/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.5 rs: Final st: NotStopd
id: Packed RBC's el: 1 cu: CSRU cg: RN io: Packed RBC's IV Infusions du: ml rt: Intravenous Push
t0: [08:00:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [08:00:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [08:00:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 26/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [08:00:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [08:00:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 26/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 26/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 26/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 26/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 26/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 26/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 26/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [12:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [12:00:00 26/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 26/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 26/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [12:00:00 26/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 26/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [12:00:00 26/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [12:00:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 26/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 26/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 26/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 26/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: -1 v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [12:00:00 26/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 26/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 26/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: -1 v1: Mediastinal st: NotStopd t0: [12:00:00 26/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 26/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 26/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 26/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 26/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 26/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 26/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 26/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 v1: Pacer Turned Off st: NotStopd t0: [12:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 v1: Epicardial Wires st: NotStopd t0: [12:00:00 26/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 v1: Attached-pacer st: NotStopd t0: [12:00:00 26/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 101 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [12:00:00 26/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 v1: 2 st: NotStopd t0: [12:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [12:00:00 26/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Prone st: NotStopd t0: [12:00:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 26/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 26/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 26/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 26/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 26/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 26/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 26/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: RestraintReapply st: NotStopd t0: [12:00:00 26/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 26/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [12:00:00 26/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [12:00:00 26/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 26/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 26/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 26/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 26/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 12.5 vu: ml t0: [12:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [12:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [12:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [12:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [12:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:10:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:10:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:10:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:10:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:10:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:10:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:10:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [12:10:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [12:10:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [12:10:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:10:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14.4 u1: cmH2O st: NotStopd t0: [12:10:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 14.5 u1: L/min st: NotStopd t0: [12:10:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [12:10:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [12:10:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [12:10:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:10:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [12:10:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 550 u1: ml/B st: NotStopd t0: [12:10:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:10:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [12:10:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [12:00:00 26/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [12:00:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [12:00:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd
t0: [12:00:00 26/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 26/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [12:00:00 26/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [13:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [13:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [13:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 70 u1: mmHg st: NotStopd t0: [13:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [13:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [13:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 26/11/2009] tf: [11:00:00 02/12/2009] dt: 8520 id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: RN ai: 114 vo: 375 vu: ml nb: 1 t0: [13:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [13:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [13:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [13:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [13:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [13:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 26/11/2009] dt: 24 id: Blood Products Total el: 3 cu: CSRU cg: RN cv: 375 ap: none
t0: [14:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [14:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [14:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg st: NotStopd t0: [14:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [14:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [14:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [14:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [14:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [14:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [14:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [14:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:30:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [14:00:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thin st: NotStopd t0: [14:00:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [15:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [15:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 139 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [15:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [15:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [15:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [15:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [15:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [15:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [15:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 320 vu: ml
t0: [15:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [15:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 26/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [16:00:00 26/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [16:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CCU st: NotStopd t0: [16:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 26/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [16:00:00 26/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [16:00:00 26/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [16:00:00 26/11/2009] id: Family Communication el: 0 cu: CSRU cg: RN v1: Family Visited st: NotStopd t0: [16:00:00 26/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [16:00:00 26/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 26/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [16:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [16:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 26/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [16:00:00 26/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 26/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [16:00:00 26/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [16:00:00 26/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [16:00:00 26/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [16:00:00 26/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 26/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 26/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [16:00:00 26/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: RN v1: Pacer Turned Off st: NotStopd t0: [16:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [16:00:00 26/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: RN v1: Attached-pacer st: NotStopd t0: [16:00:00 26/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 133 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [16:00:00 26/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: RN v1: 2 st: NotStopd t0: [16:00:00 26/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [16:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [16:00:00 26/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 26/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [16:00:00 26/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 26/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [16:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [16:00:00 26/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [16:00:00 26/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [16:00:00 26/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [16:00:00 26/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [16:00:00 26/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [16:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [16:00:00 26/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [16:00:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [16:00:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1111 u1: Deg. C st: NotStopd t0: [16:00:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.8 u1: Deg. F st: NotStopd t0: [16:00:00 26/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 26/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [16:00:00 26/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [16:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 26/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [16:00:00 26/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Activity el: 0 cu: CSRU cg: RN v1: Bedfast st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: RN v1: No Apparent Prob st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Mobility el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Moisture el: 0 cu: CSRU cg: RN v1: Rarely Moist st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Nutrition el: 0 cu: CSRU cg: RN v1: Prob. Inadequate st: NotStopd t0: [16:00:00 26/11/2009] id: Braden Score el: 0 cu: CSRU cg: RN v1: 14 u1: number st: NotStopd t0: [16:00:00 26/11/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: RN v1: Very Limited st: NotStopd
t0: [16:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [16:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [16:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [16:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [16:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [16:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RN v1: 15 u1: . st: NotStopd
t0: [16:00:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [16:00:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [17:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [17:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 147 u1: mmHg v2: 65 u2: mmHg st: NotStopd t0: [17:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [17:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [17:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [17:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [17:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [17:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [17:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [17:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 30 vu: ml
t0: [17:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [17:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:45:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:45:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:45:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [16:45:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:45:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:45:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:45:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:45:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [16:45:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [16:45:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:45:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14.3 u1: cmH2O st: NotStopd t0: [16:45:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 22 u1: L/min st: NotStopd t0: [16:45:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:45:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [16:45:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 34 u1: BPM st: NotStopd t0: [16:45:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:45:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:45:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [16:45:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [16:45:00 26/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 610 u1: ml/B st: NotStopd t0: [16:45:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:45:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:45:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [16:55:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:55:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd
t0: [18:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [18:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 141 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [18:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [18:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [18:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [18:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [12:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 79 vu: ml t0: [12:00:00 26/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 100 vu: ml t0: [14:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 120 vu: ml t0: [16:00:00 26/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [18:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [18:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [18:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [18:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [18:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [18:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:37:00 26/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 10.7759 u1: ml/dl st: NotStopd t0: [20:37:00 26/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 63 u1: mmHg rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd t0: [20:37:00 26/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 94 u1: % rs: Final st: NotStopd
t0: [20:00:00 26/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 38.2353 u1: ml/cmH st: NotStopd t0: [20:00:00 26/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 26/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 26/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.8 st: NotStopd t0: [20:00:00 26/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 26/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 26/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.7 u1: Deg. C st: NotStopd t0: [20:00:00 26/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [20:00:00 26/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [20:00:00 26/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 26/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14.5 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 14.1 u1: L/min st: NotStopd t0: [20:00:00 26/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [20:00:00 26/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 27 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 23 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [20:00:00 26/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [20:00:00 26/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 6 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [20:00:00 26/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 26/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 26/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [20:00:00 26/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 26/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [20:00:00 26/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [20:00:00 26/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [20:00:00 26/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [19:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [19:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [19:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [19:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [19:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 98 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 176 u1: mmHg v2: 72 u2: mmHg st: NotStopd t0: [20:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg st: NotStopd t0: [20:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 35 u1: BPM st: NotStopd t0: [20:00:00 26/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 26/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.2222 u1: Deg. C st: NotStopd t0: [20:00:00 26/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99 u1: Deg. F st: NotStopd t0: [20:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [21:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [21:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [21:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [21:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [21:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [16:00:00 26/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 0 vu: ml t0: [19:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [19:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [19:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [19:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [20:00:00 26/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 0 vu: ml t0: [20:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: RN ai: 304 vo: 12.5 vu: ml t0: [20:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [20:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [21:00:00 26/11/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml t0: [21:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [21:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml t0: [21:00:00 26/11/2009] id: Gastric Oral Gastric el: 2 cu: CSRU cg: RN vo: 0 vu: ml
t0: [19:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [19:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [20:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 26/11/2009] id: Amiodarone el: 1 cu: CSRU cg: RN so: D5W vo: 0 v1: 0.5 du: mgmin sv: 250 su: ml rt: IV Drip t0: [21:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 26/11/2009] dt: 24 id: Gastric Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [21:00:00 26/11/2009] id: AV Interval el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: INV#3 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: AntiEmbDevice/Status el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacemaker Mode el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacer Rate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacer Wire Condition el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacer Wires Atrial el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Pacer Wires Vent el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Atrial Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Atrial Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: AtrialmA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Vent Sens/Capture el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Vent Threshold el: 0 cu: CSRU cg: -1 st: D/C'd t0: [21:00:00 26/11/2009] id: Vent mA/Sensitivity el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [21:00:00 26/11/2009] id: Po Intake PO/Gastric el: 1 cu: CSRU cg: -1 ai: 103 vo: 0 st: D/C'd t0: [21:00:00 26/11/2009] id: D5W 250.0ml + 600mgmin Amiodarone IV Infusions el: 1 cu: CSRU cg: -1 ai: 304 vo: 0 st: D/C'd
t0: [16:00:00 26/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [16:00:00 26/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [16:00:00 26/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 26/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 26/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [16:00:00 26/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [16:00:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [16:00:00 26/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [16:00:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 26/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 26/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [16:00:00 26/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [16:00:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [16:00:00 26/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 26/11/2009] id: Pacemaker Type el: 0 cu: CSRU cg: RN v1: Epicardial Wires st: NotStopd t0: [20:00:00 26/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 26/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 26/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Pt Verbalized st: NotStopd t0: [20:00:00 26/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 26/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 26/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 26/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [20:00:00 26/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 26/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 26/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 26/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 26/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 26/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 26/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 26/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 26/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [20:00:00 26/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [20:00:00 26/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 26/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 26/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [20:00:00 26/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 26/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 26/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [20:00:00 26/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 26/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 26/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 26/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 26/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 26/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 26/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 26/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 26/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 26/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 26/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 26/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [20:00:00 26/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 26/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 26/11/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [20:00:00 26/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 26/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 26/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 26/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 26/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [20:00:00 26/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [20:00:00 26/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:37:00 26/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: RN v1: 0.97 rs: Final st: NotStopd
tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg
t0: [22:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [22:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [22:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [22:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [22:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml nb: 1 t0: [22:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [22:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [22:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 26/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 26/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 26/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 26/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 26/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [23:00:00 26/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 26/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 26/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [23:00:00 26/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 26/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [23:00:00 26/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [23:00:00 26/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 26/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 26/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 26/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [23:00:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [23:00:00 26/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 26/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 1414 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 50 cv: 2809 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 40 cv: 960 ap: none
t0: [22:15:00 26/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 26/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 200 cv: 200 ap: none t0: [23:00:00 26/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -150 cv: -150 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 200 cv: 3300 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -150 cv: -491 ap: none t0: [23:00:00 26/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 200 cv: 3300 ap: none t0: [23:00:00 26/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -150 cv: -2276.52 ap: none
t0: [00:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [00:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [00:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 27/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: Dry Sterile Dsg v2: Intact st: NotStopd t0: [00:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 27/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [00:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 27/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [00:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 27/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [00:00:00 27/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [00:00:00 27/11/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Not Applicable st: NotStopd t0: [00:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [00:00:00 27/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [00:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [00:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [00:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [00:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 27/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 29.5455 u1: ml/cmH st: NotStopd t0: [00:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.3 st: NotStopd t0: [00:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [00:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [00:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 27/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 16 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.4 u1: L/min st: NotStopd t0: [00:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [00:00:00 27/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 28.3 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [00:00:00 27/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 27/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 720 u1: ml/B st: NotStopd t0: [00:00:00 27/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [00:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 27/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [01:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [01:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [01:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg st: NotStopd t0: [01:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [01:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [01:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [01:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 27/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [00:00:00 27/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd
t0: [02:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [02:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [02:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 78 u1: mmHg st: NotStopd t0: [02:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [02:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [02:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [02:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:30:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 240 vu: ml
t0: [03:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [03:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 122 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [03:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [03:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [03:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [03:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 27/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [03:00:00 27/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.0556 u1: Deg. C st: NotStopd t0: [03:00:00 27/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.5 u1: Deg. F st: NotStopd
t0: [04:00:00 27/11/2009] id: Inc Closure/Appear#2 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [04:00:00 27/11/2009] id: Inc Drainage/Amt #2 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [04:00:00 27/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 30.9524 u1: ml/cmH st: NotStopd t0: [04:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.0 st: NotStopd t0: [04:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.9 u1: Deg. C st: NotStopd t0: [04:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [04:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 27/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 13.4 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 13.9 u1: L/min st: NotStopd t0: [04:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [04:00:00 27/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [04:00:00 27/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 7 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [04:00:00 27/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 27/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [04:00:00 27/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [04:00:00 27/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [04:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 27/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [04:09:00 27/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 62 u1: mmHg rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.21 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 94 u1: % rs: Final st: NotStopd
t0: [04:00:00 27/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 30.9 u1: % rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 10.4 u1: gm/dl rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 279 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.31 u1: /mic l rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.8 rs: Final st: NotStopd t0: [04:09:00 27/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.292 u1: ml/dl st: NotStopd
t0: [04:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 27/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [04:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [04:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [04:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 27/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [04:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [04:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [04:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [04:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Good st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Dsg/Status #2 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 27/11/2009] id: Incision/Wound #2 el: 0 cu: CSRU cg: RN v1: Mediastinal st: NotStopd t0: [04:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 27/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [04:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 27/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 173 u1: mmHg v2: 68 u2: mmHg st: NotStopd t0: [04:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [04:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [04:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 27/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [04:00:00 27/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [04:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Behavior Conts st: NotStopd t0: [04:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 27/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [04:00:00 27/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 27/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Anxious st: NotStopd t0: [04:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [05:00:00 27/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [05:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [05:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [05:00:00 27/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 27/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [05:00:00 27/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: RN v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 27/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 8 st: NotStopd t0: [05:00:00 27/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: RN v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [05:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 134 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [05:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg st: NotStopd t0: [05:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [05:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [04:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml t0: [05:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [05:00:00 27/11/2009] id: Stool Out Stool el: 1 cu: CSRU cg: RN vu: ml t0: [05:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 70 vu: ml
t0: [04:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [05:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 27/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 96 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 154 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.9 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [04:00:00 27/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [06:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [06:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 132 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [06:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg st: NotStopd t0: [06:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [06:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 27/11/2009] tf: [09:00:00 27/11/2009] dt: 300 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [06:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RN ai: 111 vo: 40 vu: ml t0: [06:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [06:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 27/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [08:00:00 27/11/2009] id: IV Site Appear #3 el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 27/11/2009] id: IV Site Appear #4 el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 27/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 40.625 u1: ml/cmH st: NotStopd t0: [08:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2 st: NotStopd t0: [08:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [08:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 27/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 15 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 11.7 u1: L/min st: NotStopd t0: [08:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [08:00:00 27/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [08:00:00 27/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 3 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 96 u1: % st: NotStopd t0: [08:00:00 27/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 640 u1: ml/B st: NotStopd t0: [08:00:00 27/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [08:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [08:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [08:00:00 27/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [07:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 136 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [07:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [07:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [07:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [07:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 27/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 27/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 27/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 27/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 128 u1: mmHg v2: 59 u2: mmHg st: NotStopd t0: [08:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 81 u1: mmHg st: NotStopd t0: [08:00:00 27/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [08:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 27/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [08:00:00 27/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Amber v2: Clear st: NotStopd t0: [08:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [09:00:00 27/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [09:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [09:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [09:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 27/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [09:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [09:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 94 u1: BPM st: NotStopd t0: [09:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [09:00:00 27/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [09:00:00 27/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [09:00:00 27/11/2009] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 11 st: NotStopd t0: [09:00:00 27/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [09:00:00 27/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 v1: RL Ant Forearm v2: 18 gauge st: NotStopd t0: [09:00:00 27/11/2009] id: IV #4 D/C Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 11 st: NotStopd t0: [09:00:00 27/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 8 st: NotStopd t0: [09:00:00 27/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 v1: LL Ant Forearm v2: 18 gauge st: NotStopd t0: [09:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [09:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [09:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [09:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [09:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [09:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [09:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [09:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 132 u1: mmHg v2: 63 u2: mmHg st: NotStopd t0: [09:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [09:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [09:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [09:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [09:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [09:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [09:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [09:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [09:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [09:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [09:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [09:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [09:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [09:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [09:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [09:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd
t0: [07:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [07:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [07:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [08:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [08:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [09:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [09:00:00 27/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 124 vo: 0 vu: ml t0: [09:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [09:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [07:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [08:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [09:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:01:00 27/11/2009] id: IV #3 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:01:00 27/11/2009] id: IV #3 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:01:00 27/11/2009] id: IV #3 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:01:00 27/11/2009] id: IV #4 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:01:00 27/11/2009] id: IV #4 Insert Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [09:01:00 27/11/2009] id: IV #4 Site/Size el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:53:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd
t0: [09:00:00 27/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 27/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.4444 u1: Deg. C st: NotStopd t0: [09:00:00 27/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.4 u1: Deg. F st: NotStopd t0: [10:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [10:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [10:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [10:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [10:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [10:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [11:00:00 27/11/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [11:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 27/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 82 u1: BPM st: NotStopd t0: [11:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [11:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [11:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 95 u1: % st: NotStopd t0: [11:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [10:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [11:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [11:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [11:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [11:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [10:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [11:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [12:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [12:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [12:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [12:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [12:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [12:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [12:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [12:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 93 u1: % st: NotStopd t0: [12:00:00 27/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 530 u1: ml/B st: NotStopd t0: [12:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [12:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [12:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [11:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [11:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [11:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [11:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [11:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [11:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [11:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [11:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [12:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 27/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [12:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [12:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 27/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 27/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 27/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 108 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [12:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 71 u1: mmHg st: NotStopd t0: [12:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [12:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 27/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 27/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [12:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [12:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [13:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [13:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [13:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [12:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:42:00 27/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 7 rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 60 u1: mmHg rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.48 rs: Final st: NotStopd
t0: [12:42:00 27/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.18 rs: Final st: NotStopd
t0: [13:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [13:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [13:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [13:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 93 u1: % st: NotStopd t0: [13:00:00 27/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [13:00:00 27/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Scant st: NotStopd t0: [13:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:42:00 27/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: -1 v1: 164 rs: Final st: NotStopd t0: [12:42:00 27/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 4 rs: Final st: NotStopd t0: [14:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [14:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [14:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [14:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [14:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [14:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [14:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [14:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 139 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [14:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg st: NotStopd t0: [14:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [14:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 96 u1: % st: NotStopd t0: [14:00:00 27/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [14:00:00 27/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [14:00:00 27/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [14:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [14:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [14:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [14:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [14:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [14:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 440 vu: ml t0: [15:00:00 27/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 120 vu: ml t0: [15:00:00 27/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [15:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [15:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml
t0: [14:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [15:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [15:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [15:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [15:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [15:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 340 vu: ml
t0: [15:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [14:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [14:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [14:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [14:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [14:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [14:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 v1: Circulation Adeq st: NotStopd t0: [16:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 27/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: -1 v1: Plan of Care st: NotStopd t0: [16:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [16:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 100 u1: BPM st: NotStopd t0: [16:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 27/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 27/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [16:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [16:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 27/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 157 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [16:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg st: NotStopd t0: [16:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [16:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [16:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [16:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [16:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Behavior Conts st: NotStopd t0: [16:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [16:00:00 27/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [16:00:00 27/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [16:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [16:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [16:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [16:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [16:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 60 vu: ml
t0: [16:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RRT v1: CSRU st: NotStopd t0: [17:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RRT v1: Full Code st: NotStopd t0: [17:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [17:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RRT v1: None st: NotStopd t0: [17:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RRT v1: None st: NotStopd t0: [17:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [17:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RRT v1: 110 u1: BPM st: NotStopd t0: [17:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RRT v1: Sinus Tachy st: NotStopd t0: [17:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [17:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [17:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [17:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [17:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [17:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [17:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [17:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [17:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 13.8 u1: L/min st: NotStopd t0: [17:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [17:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RRT v1: 141 u1: mmHg v2: 71 u2: mmHg st: NotStopd t0: [17:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RRT v1: 93 u1: mmHg st: NotStopd t0: [17:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RRT v1: Universal st: NotStopd t0: [17:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 12 u1: . st: NotStopd t0: [17:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [17:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RRT v1: 26 u1: BPM st: NotStopd t0: [17:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [17:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 93 u1: % st: NotStopd t0: [17:00:00 27/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 580 u1: ml/B st: NotStopd t0: [17:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [17:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [17:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [17:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RRT v1: 1 u1: kg st: NotStopd
t0: [17:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RRT ai: 168 vo: 5 vu: ml t0: [17:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RRT ai: 416 vo: 5 vu: ml t0: [17:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: RRT ai: 111 vo: 40 vu: ml t0: [17:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RRT vo: 35 vu: ml
t0: [17:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RRT so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [18:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [18:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [18:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [18:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [18:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 82 u1: mmHg st: NotStopd t0: [18:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [18:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [18:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [18:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [18:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [18:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 40 vu: ml t0: [18:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 340 vu: ml
t0: [18:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:09:00 27/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.7659 u1: ml/dl st: NotStopd t0: [18:09:00 27/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 43 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 80 u1: mmHg rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.9 rs: Final st: NotStopd t0: [18:09:00 27/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 97 u1: % rs: Final st: NotStopd
t0: [16:00:00 27/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [18:00:00 27/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml
t0: [19:00:00 27/11/2009] id: Criticare HN Tube Feeding el: 1 cu: CSRU cg: -1 ai: 111 vo: 0 st: D/C'd
id: Promote w/fiber el: 1 cu: CSRU cg: -1 io: Promote w/fiber Tube Feeding du: str rt: Gastric/Feeding Tube
t0: [19:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 97 u1: BPM st: NotStopd t0: [19:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [19:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [19:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [19:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 135 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [19:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 84 u1: mmHg st: NotStopd t0: [19:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [19:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [19:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [19:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [19:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [19:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [19:00:00 27/11/2009] tf: [13:00:00 29/11/2009] dt: 2520 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 40 vu: ml t0: [19:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 260 vu: ml
t0: [19:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 27/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 27/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [20:00:00 27/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [20:00:00 27/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 12.2 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 15.4 u1: L/min st: NotStopd t0: [20:00:00 27/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [20:00:00 27/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 27/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [20:00:00 27/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 630 u1: ml/B st: NotStopd t0: [20:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [20:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [20:00:00 27/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [20:00:00 27/11/2009] id: Range of Motion el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 27/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [20:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 27/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: RN v1: Circulation Adeq st: NotStopd t0: [20:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 27/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [20:00:00 27/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [20:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [20:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 27/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 27/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 27/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 27/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 27/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 27/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 27/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 140 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [20:00:00 27/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [20:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 85 u1: mmHg st: NotStopd t0: [20:00:00 27/11/2009] id: Position Change el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [20:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 27/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Crackles st: NotStopd t0: [20:00:00 27/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [20:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [20:00:00 27/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [20:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [20:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [20:00:00 27/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: RestraintReapply st: NotStopd t0: [20:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 27/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 27/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [20:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [20:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 27/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [21:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 27/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [21:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 27/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [21:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [21:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 93 u1: BPM st: NotStopd t0: [21:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 27/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [21:00:00 27/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [21:00:00 27/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [21:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 138 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [21:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 79 u1: mmHg st: NotStopd t0: [21:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [21:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [21:00:00 27/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [21:00:00 27/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [21:00:00 27/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 27/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [21:00:00 27/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [21:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [21:00:00 27/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [21:00:00 27/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [21:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 27/11/2009] tf: [10:00:00 28/11/2009] dt: 840 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [20:00:00 27/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [20:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 27/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 40 vu: ml t0: [20:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml t0: [21:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 27/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [21:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [20:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [22:00:00 27/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 27/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 27/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 27/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 27/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [22:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 27/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 27/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [22:00:00 27/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [22:00:00 27/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 27/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 27/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 118 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [22:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [22:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 27/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [22:00:00 27/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [22:00:00 27/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [22:00:00 27/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [22:00:00 27/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 27/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 27/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 27/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 27/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [22:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 27/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [22:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [22:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [23:00:00 27/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [23:00:00 27/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd
tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: IV fr: Q12H fs: 23, 11 dn: 2 m1: Acetazolamide Sodium f1: INJ v1: 250 u1: mg m2: D5W f2: INJ v2: 25 u2: ml
t0: [22:00:00 27/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 27/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 27/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 27/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 27/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 27/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 27/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [22:00:00 27/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [22:00:00 27/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [23:00:00 27/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 27/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 27/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 27/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 27/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [23:00:00 27/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 27/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [23:00:00 27/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [23:00:00 27/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 27/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [23:00:00 27/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [23:00:00 27/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 27/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 27/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 27/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [23:00:00 27/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [23:00:00 27/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 27/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 60 cv: 60 ap: none t0: [23:00:00 27/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 0 cv: 0 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 1110 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 60 cv: 2100 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 50 cv: 990 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 60 cv: 3460 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 0 cv: -1360 ap: none t0: [23:00:00 27/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 60 cv: 3460 ap: none t0: [23:00:00 27/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 0 cv: -3636.52 ap: none
t0: [00:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [00:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [00:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [00:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 107 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [00:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [00:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [00:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [00:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [00:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 28/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 34.2105 u1: ml/cmH st: NotStopd t0: [00:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.0 st: NotStopd t0: [00:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [00:00:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 12.5 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 16.3 u1: L/min st: NotStopd t0: [00:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [00:00:00 28/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 29 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 27.6 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [00:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [00:00:00 28/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 8 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Moderate st: NotStopd t0: [00:00:00 28/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 740 u1: ml/B st: NotStopd t0: [00:00:00 28/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [00:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 28/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [20:00:00 27/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 28/11/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 28/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [00:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [00:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [00:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [00:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [00:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [00:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [00:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [00:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [00:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [00:00:00 28/11/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: RN v1: Strong/Palpable v2: Strong/Palpable st: NotStopd t0: [00:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [00:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [00:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [00:00:00 28/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [00:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [00:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [00:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [00:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [00:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [00:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [00:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [00:00:00 28/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [00:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd t0: [01:00:00 28/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [01:00:00 28/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [01:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [01:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [01:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 92 u1: BPM st: NotStopd t0: [01:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [01:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [01:00:00 28/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [01:00:00 28/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [01:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [01:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [01:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [01:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [01:00:00 28/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [01:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2778 u1: Deg. C st: NotStopd t0: [01:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.9 u1: Deg. F st: NotStopd t0: [01:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [01:00:00 28/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [01:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [01:00:00 28/11/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 134 rs: Manual st: NotStopd
t0: [01:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [01:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [01:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 50 vu: ml t0: [01:00:00 28/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [01:00:00 28/11/2009] tf: [05:00:00 01/12/2009] dt: 4560 id: Stool Out Stool el: 1 cu: CSRU cg: RN vo: 1 vu: ml
t0: [02:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [02:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 28/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [02:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [02:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [02:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [02:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 119 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [02:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [02:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [02:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [02:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 340 vu: ml
t0: [02:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [03:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [03:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.5 u1: torr st: NotStopd t0: [03:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [03:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [03:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [03:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [03:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [03:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [03:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [03:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [03:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [03:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [02:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [03:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [03:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [03:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [04:00:00 28/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 30.9524 u1: ml/cmH st: NotStopd t0: [04:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.5 st: NotStopd t0: [04:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [04:00:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 15.5 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.9 u1: L/min st: NotStopd t0: [04:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [04:00:00 28/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 30 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [04:00:00 28/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [04:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [04:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [04:00:00 28/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [04:00:00 28/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [04:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 28/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [04:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [04:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 83 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [04:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [04:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [04:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [04:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [04:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [04:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [04:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [04:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [04:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 28/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd
t0: [04:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [04:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 170 vu: ml
t0: [04:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 28/11/2009] id: Gastric Oral Gastric el: 2 cu: CSRU cg: -1 vo: 0 st: D/C'd
t0: [05:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Sedated st: NotStopd t0: [05:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [05:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [05:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [05:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [05:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:06:00 28/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 95 u1: mmHg rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [05:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 60 vu: ml t0: [05:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [05:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [05:06:00 28/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [05:00:00 28/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.2 u1: % rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.5 u1: gm/dl rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 268 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.97 u1: /mic l rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.6 rs: Final st: NotStopd t0: [05:06:00 28/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.7699 u1: ml/dl st: NotStopd
t0: [04:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [04:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.8 u1: Deg. F st: NotStopd t0: [06:00:00 28/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [06:00:00 28/11/2009] id: Pain Assess Method el: 0 cu: CSRU cg: RN v1: Non-verbal cues st: NotStopd t0: [06:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [06:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 28/11/2009] id: Education Topic #1 el: 0 cu: CSRU cg: RN v1: Plan of Care st: NotStopd t0: [06:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [06:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [06:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 101 u1: BPM st: NotStopd t0: [06:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Sinus Tachy st: NotStopd t0: [06:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [06:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [06:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 135 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [06:00:00 28/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [06:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [06:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [06:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [06:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [06:00:00 28/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: RN v1: Restraint DC'd st: NotStopd t0: [06:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [06:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [06:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 28/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [06:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hyperactive st: NotStopd
t0: [06:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 28/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 5 vu: ml t0: [06:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [06:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [06:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 28/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 31 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 100 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 153 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2.1 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.7 rs: Final st: NotStopd t0: [05:00:00 28/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [06:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [06:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [06:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [06:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [06:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [07:00:00 28/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [07:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 28/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [07:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [07:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [07:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [07:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [07:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [07:00:00 28/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [07:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [07:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [07:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [07:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [07:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 28/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [07:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [07:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [07:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 28/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 36.1111 u1: ml/cmH st: NotStopd t0: [08:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2 st: NotStopd t0: [08:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [08:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [08:00:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [08:00:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [08:00:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 20 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 21 u1: L/min st: NotStopd t0: [08:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [08:00:00 28/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 28 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd t0: [08:00:00 28/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thick st: NotStopd t0: [08:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [08:00:00 28/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [08:00:00 28/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [08:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [08:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [08:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [08:00:00 28/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [08:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 89 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 125 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [08:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 76 u1: mmHg st: NotStopd t0: [08:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [08:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [08:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [08:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [08:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [09:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 93 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [09:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 60 u1: mmHg st: NotStopd t0: [09:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [09:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [09:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [09:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.9444 u1: Deg. C st: NotStopd t0: [09:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100.3 u1: Deg. F st: NotStopd t0: [09:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [09:00:00 28/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [09:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 110 vu: ml
t0: [09:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [08:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [08:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 28/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [08:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 28/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [08:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None v2: Intact st: NotStopd t0: [08:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [08:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [08:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [08:00:00 28/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 v1: Restraint DC'd st: NotStopd t0: [08:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [08:00:00 28/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [08:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [10:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [10:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 20 u1: . st: NotStopd
t0: [10:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [10:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 90 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [10:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [10:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [10:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 25 vu: ml t0: [10:00:00 28/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 124 vo: 0 vu: ml t0: [10:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [10:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [10:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [10:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [11:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [11:00:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [11:00:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [11:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [11:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [11:00:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [11:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [11:00:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [11:00:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [11:00:00 28/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [11:00:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 17 u1: cmH2O st: NotStopd t0: [11:00:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 18 u1: L/min st: NotStopd t0: [11:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [11:00:00 28/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [11:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 20 u1: . st: NotStopd t0: [11:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [11:00:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [11:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [11:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [11:00:00 28/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 740 u1: ml/B st: NotStopd t0: [11:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [11:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [11:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [11:00:00 28/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [11:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [11:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 86 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [11:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 58 u1: mmHg st: NotStopd t0: [11:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [11:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [11:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [11:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [11:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [10:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [10:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [10:00:00 28/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [10:00:00 28/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [10:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [10:00:00 28/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 28/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [12:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [12:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [12:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None v2: Intact st: NotStopd t0: [12:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [12:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [12:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [12:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [12:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [12:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [12:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [12:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 28/11/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Calm st: NotStopd t0: [12:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [12:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [12:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [12:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml
t0: [12:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 92 u1: BPM st: NotStopd t0: [13:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [13:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [13:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [13:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [13:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 240 vu: ml
t0: [13:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [12:51:00 28/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.45 rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.05 rs: Final st: NotStopd t0: [12:51:00 28/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.5 rs: Final st: NotStopd
t0: [14:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [14:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 97 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [14:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [14:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [14:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [14:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [14:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [14:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 320 vu: ml
t0: [14:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [15:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 60 u2: mmHg st: NotStopd t0: [15:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg st: NotStopd t0: [15:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 20 u1: BPM st: NotStopd t0: [15:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [15:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [15:00:00 28/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [15:00:00 28/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 100 vu: ml t0: [15:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [15:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [15:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [15:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [16:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 105 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [16:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [16:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [16:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [16:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [16:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 140 vu: ml
t0: [16:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [16:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [16:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [16:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [16:00:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [16:00:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [16:00:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 28/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14 u1: cmH2O st: NotStopd t0: [16:00:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12 u1: L/min st: NotStopd t0: [16:00:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [16:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 20 u1: . st: NotStopd t0: [16:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [16:00:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 28/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Tan v2: Thick st: NotStopd t0: [16:00:00 28/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Suctioned v2: Small st: NotStopd t0: [16:00:00 28/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [16:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [16:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [16:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [17:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [17:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 103 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [17:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [17:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [17:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [17:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [17:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [17:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [15:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [15:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [15:00:00 28/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [15:00:00 28/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [15:00:00 28/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 28/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None v2: Intact st: NotStopd t0: [16:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: -1 v1: Ext/TXInterfere st: NotStopd t0: [16:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: -1 v1: Both Arms st: NotStopd t0: [16:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: -1 v1: Soft Limb st: NotStopd t0: [16:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd t0: [18:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [18:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [18:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [18:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [18:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 55 u2: mmHg st: NotStopd t0: [18:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [18:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [18:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [18:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [18:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [18:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [18:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [18:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [18:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [14:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [14:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100 u1: Deg. F st: NotStopd t0: [18:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [18:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.7778 u1: Deg. C st: NotStopd t0: [18:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 100 u1: Deg. F st: NotStopd
t0: [16:00:00 28/11/2009] id: Stool Out Stool el: 1 cu: CSRU cg: -1 vu: ml es: Small
t0: [23:00:00 28/11/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 1 ap: carryForward
t0: [18:00:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [18:00:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [18:00:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [18:00:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [18:00:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [18:00:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [18:00:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [18:00:00 28/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 690 u1: ml/B st: NotStopd t0: [18:00:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [18:00:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [18:00:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [19:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [19:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 119 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [19:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [19:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [19:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [19:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [19:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [19:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 45 vu: ml
t0: [19:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:10:00 28/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 39 u1: mmHg rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 127 u1: mmHg rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [18:10:00 28/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 143 rs: Final st: NotStopd
t0: [18:10:00 28/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.05 rs: Manual st: NotStopd t0: [18:10:00 28/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.9 rs: Final st: NotStopd
t0: [19:25:00 28/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [19:25:00 28/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [19:25:00 28/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [19:25:00 28/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [19:25:00 28/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [19:25:00 28/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [19:25:00 28/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.8 u1: Deg. C st: NotStopd t0: [19:25:00 28/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [19:25:00 28/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [19:25:00 28/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [19:25:00 28/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14.5 u1: cmH2O st: NotStopd t0: [19:25:00 28/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.9 u1: L/min st: NotStopd t0: [19:25:00 28/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [19:25:00 28/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [19:25:00 28/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [19:25:00 28/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [19:25:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:25:00 28/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 640 u1: ml/B st: NotStopd t0: [19:25:00 28/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [19:25:00 28/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [19:25:00 28/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [20:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [20:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 116 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [20:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [20:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [20:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 28/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [21:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [21:00:00 28/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [21:00:00 28/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [21:00:00 28/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [21:00:00 28/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [21:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [21:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [21:00:00 28/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [21:00:00 28/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [21:00:00 28/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [21:00:00 28/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [21:00:00 28/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None v2: Intact st: NotStopd t0: [21:00:00 28/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 28/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [21:00:00 28/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [21:00:00 28/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 28/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 28/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [21:00:00 28/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [21:00:00 28/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [21:00:00 28/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [21:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [21:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 74 u1: mmHg st: NotStopd t0: [21:00:00 28/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [21:00:00 28/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [21:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 28/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 28/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [21:00:00 28/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [21:00:00 28/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [21:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [21:00:00 28/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [21:00:00 28/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [21:00:00 28/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [21:00:00 28/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [21:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 28/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [21:00:00 28/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [21:00:00 28/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8333 u1: Deg. C st: NotStopd t0: [21:00:00 28/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.1 u1: Deg. F st: NotStopd t0: [21:00:00 28/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [21:00:00 28/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [21:00:00 28/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [21:00:00 28/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [21:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [21:00:00 28/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [21:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [21:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 10 vu: ml t0: [21:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 140 vu: ml t0: [21:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 280 vu: ml
t0: [20:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [21:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [22:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [22:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 28/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 144 u1: mmHg v2: 61 u2: mmHg st: NotStopd t0: [22:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg st: NotStopd t0: [22:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [22:00:00 28/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 28/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [22:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [22:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [22:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 28/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 28/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 28/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 28/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 28/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [23:00:00 28/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 28/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [23:00:00 28/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [23:00:00 28/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 28/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [23:00:00 28/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [23:00:00 28/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 28/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 28/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 28/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [23:00:00 28/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [23:00:00 28/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 28/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 120 cv: 120 ap: none t0: [23:00:00 28/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -40 ap: none t0: [23:00:00 28/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 10 cv: 1265 ap: none t0: [23:00:00 28/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 80 cv: 2925 ap: none t0: [23:00:00 28/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 70 cv: 1610 ap: none t0: [23:00:00 28/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 120 cv: 3340 ap: none t0: [23:00:00 28/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -416 ap: carryForward t0: [23:00:00 28/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 120 cv: 3341 ap: carryForward t0: [23:00:00 28/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -4052.52 ap: carryForward
t0: [00:00:00 29/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 30.9524 u1: ml/cmH st: NotStopd t0: [00:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 1:2.8 st: NotStopd t0: [00:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.7 u1: Deg. C st: NotStopd t0: [00:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [00:00:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 15.8 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.3 u1: L/min st: NotStopd t0: [00:00:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [00:00:00 29/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 31 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [00:00:00 29/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 3 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [00:00:00 29/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [00:00:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 710 u1: ml/B st: NotStopd t0: [00:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [00:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [00:00:00 29/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [00:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [00:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [00:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [00:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [00:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [00:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 29/11/2009] id: Range of Motion el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 29/11/2009] id: Circulation/SkinInt el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 29/11/2009] id: Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 29/11/2009] id: Removed x 5 Mins el: 0 cu: CSRU cg: -1 st: D/C'd t0: [02:00:00 29/11/2009] id: Restraints Evaluated el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [01:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [01:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [01:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [01:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [01:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [02:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 29/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 29/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 29/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [02:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 29/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [02:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [02:00:00 29/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [02:00:00 29/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [02:00:00 29/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [02:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [02:00:00 29/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 29/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 29/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 29/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 29/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [02:00:00 29/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [02:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [02:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [02:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 29/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 29/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Rhonchi st: NotStopd t0: [02:00:00 29/11/2009] id: Reason For Restraint el: 0 cu: CSRU cg: RN v1: Ext/TXInterfere st: NotStopd t0: [02:00:00 29/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [02:00:00 29/11/2009] id: Restraint Location el: 0 cu: CSRU cg: RN v1: Both Arms st: NotStopd t0: [02:00:00 29/11/2009] id: Restraint Type el: 0 cu: CSRU cg: RN v1: Soft Limb st: NotStopd t0: [02:00:00 29/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 29/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [02:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [02:00:00 29/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thick st: NotStopd t0: [02:00:00 29/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [02:00:00 29/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 29/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 29/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [02:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [02:00:00 29/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 29/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [01:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [01:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [02:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [02:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [01:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [02:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 29/11/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: RN cv: 0 ap: none
t0: [03:04:00 29/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 28 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 112 u1: mmHg rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd
t0: [03:04:00 29/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 150 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.25 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.8 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [03:04:00 29/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 137 rs: Final st: NotStopd
t0: [02:35:00 29/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29.6 u1: % rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 u1: gm/dl rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 306 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.11 u1: /mic l rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 13.2 rs: Final st: NotStopd
t0: [04:00:00 29/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: -1 v1: 29.5455 u1: ml/cmH st: NotStopd t0: [04:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: -1 v1: 2.1 st: NotStopd t0: [04:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 33.8 u1: Deg. C st: NotStopd t0: [04:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [04:00:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 29/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 14.7 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.4 u1: L/min st: NotStopd t0: [04:00:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 10 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: Peak Flow el: 0 cu: CSRU cg: -1 v1: 70 u1: L/m st: NotStopd t0: [04:00:00 29/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 32 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [04:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [04:00:00 29/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: -1 v1: 4 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: -1 v1: 14 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 29/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: -1 v1: 680 u1: ml/B st: NotStopd t0: [04:00:00 29/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 510 u1: ml/B st: NotStopd t0: [04:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: SIMV+PS st: NotStopd t0: [04:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 29/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: -1 v1: RAMP st: NotStopd
t0: [02:35:00 29/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 36 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Calcium (8.4-10.2) Chemistry el: 0 cu: CSRU cg: 3161 v1: 8.1 u1: mg/dl rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 103 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 128 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.5 u1: mEq/L rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [02:35:00 29/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [03:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [03:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [03:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 60 u1: mmHg st: NotStopd t0: [03:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 16 u1: BPM st: NotStopd t0: [03:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [04:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 81 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 97 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [04:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 10 vu: ml t0: [04:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 140 vu: ml t0: [04:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 350 vu: ml
t0: [03:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [04:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [05:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 85 u1: BPM st: NotStopd t0: [05:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [05:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 55 u1: mmHg st: NotStopd t0: [05:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [05:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [05:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [06:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 29/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [06:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 87 u1: BPM st: NotStopd t0: [06:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 29/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [06:00:00 29/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [06:00:00 29/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [06:00:00 29/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [06:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [06:00:00 29/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 29/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 29/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [06:00:00 29/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [06:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [06:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 29/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [06:00:00 29/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 29/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [06:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [06:00:00 29/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Clear v2: Thin st: NotStopd t0: [06:00:00 29/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [06:00:00 29/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [06:00:00 29/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [06:00:00 29/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [06:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [06:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [06:00:00 29/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [06:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [06:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 10 vu: ml t0: [06:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 140 vu: ml t0: [06:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [05:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [06:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 29/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [06:00:00 29/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.5 u1: Deg. C st: NotStopd t0: [06:00:00 29/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.5 u1: Deg. F st: NotStopd
t0: [22:00:00 28/11/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 50 vu: ml t0: [00:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 29/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [06:00:00 29/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [23:00:00 28/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 50 ap: none
t0: [06:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [06:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd
t0: [06:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [06:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [06:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [06:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [06:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [06:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Left Side st: NotStopd t0: [07:00:00 29/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [07:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [07:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [07:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [07:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [07:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [07:00:00 29/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [07:00:00 29/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [07:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 113 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [07:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 73 u1: mmHg st: NotStopd t0: [07:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [07:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [07:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [07:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [07:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [07:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [07:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [07:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [07:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [07:32:00 29/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [07:32:00 29/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [07:32:00 29/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [07:32:00 29/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.42 rs: Final st: NotStopd t0: [07:32:00 29/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 145 rs: Final st: NotStopd
t0: [08:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [08:00:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [08:00:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [08:00:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [08:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [08:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [08:00:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [08:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [08:00:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [08:00:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [08:00:00 29/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [08:00:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 15.8 u1: L/min st: NotStopd t0: [08:00:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [08:00:00 29/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [08:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [08:00:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 23 u1: BPM st: NotStopd t0: [08:00:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [08:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [08:00:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 710 u1: ml/B st: NotStopd t0: [08:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [08:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [08:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [08:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 88 u1: BPM st: NotStopd t0: [08:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 62 u1: mmHg st: NotStopd t0: [08:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [08:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [08:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [08:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [08:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [09:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 86 u1: BPM st: NotStopd t0: [09:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [09:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [09:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 23 u1: BPM st: NotStopd t0: [09:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [09:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [08:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 29/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [09:00:00 29/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 50 vu: ml t0: [09:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [09:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [09:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [09:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [15:00:00 02/12/2009] pt: Unit Dose rt: SC fr: Q3-4H:PRN m1: Hydromorphone f1: SYR v1: 0.5-2 u1: mg
t0: [10:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 96 u1: BPM st: NotStopd t0: [10:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [10:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 79 u1: mmHg st: NotStopd t0: [10:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [10:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [10:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [10:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [10:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 120 vu: ml
t0: [10:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 80 u1: BPM st: NotStopd t0: [11:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 92 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [11:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 63 u1: mmHg st: NotStopd t0: [11:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [11:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [11:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [11:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [11:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [11:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [11:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:22:00 29/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 13.265 u1: ml/dl st: NotStopd t0: [11:22:00 29/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 0 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 25 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 38 u1: mmHg rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 170 u1: mmHg rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.41 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.12 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 rs: Final st: NotStopd t0: [11:22:00 29/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [11:45:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [11:45:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [11:45:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [11:45:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [11:45:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [11:45:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [11:45:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [11:45:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [11:45:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [11:45:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [11:45:00 29/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [11:45:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [11:45:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [11:45:00 29/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [11:45:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 5 u1: . st: NotStopd t0: [11:45:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 22 u1: BPM st: NotStopd t0: [11:45:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [11:45:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [11:45:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [11:45:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [11:45:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [11:45:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [12:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [12:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 85 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [12:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 59 u1: mmHg st: NotStopd t0: [12:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [12:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [12:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [12:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [12:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 30 vu: ml
t0: [12:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 29/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [06:00:00 29/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [06:00:00 29/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [06:00:00 29/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [06:00:00 29/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [06:00:00 29/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [07:32:00 29/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: -1 v1: 1.06 rs: Final st: NotStopd t0: [07:32:00 29/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 4 rs: Final st: NotStopd t0: [09:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [09:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [09:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [09:00:00 29/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [09:00:00 29/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [09:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Right Side st: NotStopd t0: [09:00:00 29/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [12:00:00 29/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 29/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 29/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [12:00:00 29/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [12:00:00 29/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 29/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [12:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: Yes st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [12:00:00 29/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 29/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 29/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [12:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 29/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 29/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 29/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 29/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 29/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 29/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 29/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 29/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [12:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [12:00:00 29/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 29/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [12:00:00 29/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 29/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 29/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 29/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [12:00:00 29/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 29/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 29/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [12:00:00 29/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [13:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 69 u1: BPM st: NotStopd t0: [13:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [13:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 200 vu: ml t0: [13:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [13:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [13:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 vu: ml t0: [13:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 380 vu: ml
t0: [13:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 80 u1: mmHg v2: 32 u2: mmHg st: NotStopd t0: [13:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 57 u1: mmHg st: NotStopd t0: [14:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [14:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 144 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [14:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 83 u1: mmHg st: NotStopd t0: [14:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 28 u1: BPM st: NotStopd t0: [14:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [14:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [14:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 5 vu: ml t0: [14:00:00 29/11/2009] tf: [07:00:00 30/11/2009] dt: 1020 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [14:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 420 vu: ml
t0: [14:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [15:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd
t0: [15:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 71 u1: BPM st: NotStopd t0: [15:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 87 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [15:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 55 u1: mmHg st: NotStopd t0: [15:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [15:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [15:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [14:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [14:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [14:00:00 29/11/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [14:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 2 Person Assist st: NotStopd t0: [14:00:00 29/11/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [14:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [14:00:00 29/11/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 29/11/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 29/11/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 11 u1: points st: NotStopd t0: [16:00:00 29/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 v1: Salem Sump v2: Oral st: NotStopd t0: [16:00:00 29/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 29/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 v1: Feeding st: NotStopd t0: [16:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [16:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [16:00:00 29/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [16:00:00 29/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 29/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 29/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 29/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 29/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 29/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 29/11/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 29/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 29/11/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 124 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [16:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 75 u1: mmHg st: NotStopd t0: [16:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 29/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Rhonchi st: NotStopd t0: [16:00:00 29/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 29/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [16:00:00 29/11/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 29/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [16:00:00 29/11/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 29/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 29/11/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 29/11/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 1.0 ET/Trach st: NotStopd t0: [16:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 29/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Present st: NotStopd
t0: [15:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 vu: ml t0: [15:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [15:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 200 vu: ml t0: [16:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 vu: ml t0: [16:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [16:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [16:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [15:00:00 02/12/2009] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 12.5 u1: mg
t0: [16:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [16:00:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [16:00:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [16:00:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [16:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [16:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [16:00:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [16:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [16:00:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [16:00:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [16:00:00 29/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [16:00:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 15 u1: L/min st: NotStopd t0: [16:00:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [16:00:00 29/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [16:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [16:00:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 27 u1: BPM st: NotStopd t0: [16:00:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [16:00:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 540 u1: ml/B st: NotStopd t0: [16:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [16:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [16:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [17:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 74 u1: BPM st: NotStopd t0: [17:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 118 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [17:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [17:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [17:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [17:00:00 29/11/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [17:00:00 29/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.1111 u1: Deg. C st: NotStopd t0: [17:00:00 29/11/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98.8 u1: Deg. F st: NotStopd t0: [17:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [17:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [17:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 vu: ml t0: [17:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [17:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [17:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [18:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 110 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [18:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [18:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [18:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [18:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 vu: ml t0: [18:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [18:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 100 vu: ml
t0: [18:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:52:00 29/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 40 u1: mmHg rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 250 u1: mmHg rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [17:52:00 29/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd
t0: [18:38:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [18:38:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [18:38:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [18:38:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [18:38:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [18:38:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [18:38:00 29/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [18:38:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [18:38:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [18:38:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd
t0: [18:38:00 29/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd
t0: [19:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [19:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [19:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [19:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 79 u1: BPM st: NotStopd t0: [19:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [19:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [19:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [19:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [19:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 22 u1: BPM st: NotStopd t0: [19:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [19:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [19:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [19:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 vu: ml t0: [19:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml t0: [19:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 80 vu: ml
t0: [19:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:52:00 29/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: -1 v1: 3.9 rs: Final st: NotStopd
t0: [20:00:00 29/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 30.3738 u1: ml/cmH st: NotStopd t0: [20:00:00 29/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 29/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 29/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2 st: NotStopd t0: [20:00:00 29/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [20:00:00 29/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [20:00:00 29/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 29/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [20:00:00 29/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [20:00:00 29/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [20:00:00 29/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 10 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.9 u1: L/min st: NotStopd t0: [20:00:00 29/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [20:00:00 29/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 26.4 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 23.6 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [20:00:00 29/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 10 u1: . st: NotStopd t0: [20:00:00 29/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 24 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [20:00:00 29/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 660 u1: ml/B st: NotStopd t0: [20:00:00 29/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [20:00:00 29/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [20:00:00 29/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [20:00:00 29/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [20:00:00 29/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [20:00:00 29/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
tf: [09:00:00 01/12/2009] pt: Unit Dose rt: IV fr: PRN m1: Fentanyl Citrate f1: INJ v1: 25-50 u1: mcg
t0: [19:30:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:30:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:30:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 105 u1: BPM st: NotStopd t0: [19:30:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 178 u1: mmHg v2: 83 u2: mmHg st: NotStopd t0: [19:30:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 115 u1: mmHg st: NotStopd t0: [19:30:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:30:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 32 u1: BPM st: NotStopd t0: [19:30:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:30:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 108 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [20:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 72 u1: mmHg st: NotStopd t0: [20:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [20:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [20:15:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:15:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:15:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [20:15:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [20:15:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [20:15:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:15:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [20:15:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:15:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 29/11/2009] tf: [17:00:00 30/11/2009] dt: 1260 id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [20:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [20:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [19:30:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [20:15:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:15:00 29/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:15:00 29/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 38.2222 u1: Deg. C st: NotStopd t0: [20:15:00 29/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.8 u1: Deg. F st: NotStopd
t0: [21:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [21:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [21:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [21:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [21:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [21:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [21:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [21:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [21:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [21:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [21:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 29/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [20:00:00 29/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [20:00:00 29/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [20:00:00 29/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [20:00:00 29/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [20:00:00 29/11/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: RN v1: Brisk v2: Brisk st: NotStopd t0: [20:00:00 29/11/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: RN v1: 3 mm v2: 3 mm st: NotStopd t0: [20:00:00 29/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd
t0: [22:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 29/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [22:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [22:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [22:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [22:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [22:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [22:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [22:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [22:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [20:00:00 29/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [20:00:00 29/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [20:00:00 29/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Dsg/Status #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2009] id: Inc Dsg/Status #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 29/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [20:00:00 29/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [20:00:00 29/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [20:00:00 29/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [20:00:00 29/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Tachypneic st: NotStopd t0: [20:00:00 29/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [20:00:00 29/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [20:00:00 29/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [20:00:00 29/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Amber v2: Clear st: NotStopd t0: [20:00:00 29/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [20:00:00 29/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [20:00:00 29/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [20:00:00 29/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [20:00:00 29/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [20:00:00 29/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [20:00:00 29/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [20:00:00 29/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [20:00:00 29/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Green v2: Plug st: NotStopd t0: [20:00:00 29/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Copious st: NotStopd t0: [20:00:00 29/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [20:00:00 29/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd
t0: [20:00:00 29/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [20:00:00 29/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [20:00:00 29/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd
t0: [20:00:00 29/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN st: NotStopd t0: [20:00:00 29/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Very Agitated st: NotStopd
t0: [23:00:00 29/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 29/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 29/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [23:00:00 29/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 83 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [23:00:00 29/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [23:00:00 29/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 29/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [23:00:00 29/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 29/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 29/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [23:00:00 29/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 29/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [23:00:00 29/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [23:00:00 29/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 29/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [23:00:00 29/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 29/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: 135 cv: 135 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 110 cv: 1215 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 180 cv: 2825 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN pv: 70 cv: 1610 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 3425 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: 135 cv: -600 ap: none t0: [23:00:00 29/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 3425 ap: none t0: [23:00:00 29/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: 135 cv: -4652.52 ap: carryForward
t0: [23:00:00 29/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 29/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd
t0: [00:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [00:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [00:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [00:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 15 u1: BPM st: NotStopd t0: [00:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [00:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [00:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [00:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:24:00 30/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 28.8889 u1: ml/cmH st: NotStopd t0: [00:24:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [00:24:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [00:24:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [00:24:00 30/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.3 st: NotStopd t0: [00:24:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [00:24:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [00:24:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [00:24:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [00:24:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [00:24:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [00:24:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 8.8 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 10.3 u1: L/min st: NotStopd t0: [00:24:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [00:24:00 30/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 27.5 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 26 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [00:24:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [00:24:00 30/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 9 u1: BPM st: NotStopd t0: [00:24:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 19 u1: BPM st: NotStopd t0: [00:24:00 30/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [00:24:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [00:24:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 99 u1: % st: NotStopd t0: [00:24:00 30/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 590 u1: ml/B st: NotStopd t0: [00:24:00 30/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [00:24:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 500 u1: ml/B st: NotStopd t0: [00:24:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [00:24:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [00:24:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [00:24:00 30/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [00:30:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:30:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:30:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:30:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [00:30:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:30:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [00:30:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 75 u1: mmHg st: NotStopd t0: [00:30:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:30:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [00:30:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:30:00 30/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:30:00 30/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [00:30:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml st: NotStopd t0: [00:30:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [00:30:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [00:30:00 30/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [00:30:00 30/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6667 u1: Deg. C st: NotStopd t0: [00:30:00 30/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.8 u1: Deg. F st: NotStopd
t0: [22:00:00 29/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [00:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [00:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [00:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [00:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [00:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [00:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [00:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd
t0: [00:00:00 30/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [01:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [01:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [01:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [01:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [01:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 92 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [01:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [01:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [01:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [01:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [02:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 39 u2: mmHg st: NotStopd t0: [02:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 53 u1: mmHg st: NotStopd t0: [02:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [02:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [03:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [03:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 12 u1: BPM st: NotStopd t0: [03:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 30/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 200 vu: ml t0: [02:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [02:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [02:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [02:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [03:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [03:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [03:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [03:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 110 vu: ml
t0: [03:47:00 30/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 3 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 44 u1: mmHg rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 107 u1: mmHg rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.43 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 98 u1: % rs: Final st: NotStopd
t0: [03:30:00 30/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.3 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.8 u1: % rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.1 u1: gm/dl rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 283 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.93 u1: /mic l rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 12.3 rs: Final st: NotStopd t0: [03:47:00 30/11/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.2818 u1: ml/dl st: NotStopd
t0: [04:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [04:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [04:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [04:00:00 30/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [04:00:00 30/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.3889 u1: Deg. C st: NotStopd t0: [04:00:00 30/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [04:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [04:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [04:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 35 vu: ml
t0: [04:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [03:30:00 30/11/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 42 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 27 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.3 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Magnesium (1.6-2.6) Chemistry el: 0 cu: CSRU cg: 3161 v1: 2 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 u1: mEq/L rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [03:30:00 30/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [04:00:00 30/11/2009] id: Compliance (40-60ml) el: 0 cu: CSRU cg: RRT v1: 31.1005 u1: ml/cmH st: NotStopd t0: [04:00:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 50 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: I:E Ratio el: 0 cu: CSRU cg: RRT v1: 1:2.5 st: NotStopd t0: [04:00:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [04:00:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [04:00:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [04:00:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [04:00:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.4 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 9.6 u1: L/min st: NotStopd t0: [04:00:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: Peak Flow el: 0 cu: CSRU cg: RRT v1: 70 u1: L/m st: NotStopd t0: [04:00:00 30/11/2009] id: Peak Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 25.9 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: Plateau Pressure el: 0 cu: CSRU cg: RRT v1: 22.1 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [04:00:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [04:00:00 30/11/2009] id: Resp Rate (Spont) el: 0 cu: CSRU cg: RRT v1: 4 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 14 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: Respiratory Rate Set el: 0 cu: CSRU cg: RRT v1: 10 u1: BPM st: NotStopd t0: [04:00:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: RRT v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 30/11/2009] id: Tidal Volume (Obser) el: 0 cu: CSRU cg: RRT v1: 690 u1: ml/B st: NotStopd t0: [04:00:00 30/11/2009] id: Tidal Volume (Set) el: 0 cu: CSRU cg: RRT v1: 650 u1: ml/B st: NotStopd t0: [04:00:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: SIMV+PS st: NotStopd t0: [04:00:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [04:00:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [04:00:00 30/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [05:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [05:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [05:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [05:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 14 u1: BPM st: NotStopd t0: [05:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [05:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [05:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [05:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [02:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [04:00:00 30/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 3 To speech st: NotStopd t0: [04:00:00 30/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 10 u1: points st: NotStopd t0: [04:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [04:00:00 30/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [04:00:00 30/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [04:00:00 30/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft Distended st: NotStopd t0: [04:00:00 30/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 30/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [04:00:00 30/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 30/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 30/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Arouse to Voice st: NotStopd t0: [04:00:00 30/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [04:00:00 30/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [04:00:00 30/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [04:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [04:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [04:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [04:00:00 30/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 30/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 30/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 30/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [04:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [04:00:00 30/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 30/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [04:00:00 30/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Hypoactive st: NotStopd
t0: [06:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [06:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [06:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [06:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [06:00:00 30/11/2009] id: Rec. Breath Pressure el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 30/11/2009] id: Rec.Breath Time(sec) el: 0 cu: CSRU cg: -1 st: D/C'd t0: [06:00:00 30/11/2009] id: Recruit Breath el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [06:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [06:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml
t0: [00:00:00 30/11/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vu: ml t0: [06:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [06:00:00 30/11/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml
t0: [03:30:00 30/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: RN v1: 156 rs: Final st: NotStopd
t0: [06:30:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RRT v1: 23cm v2: Lip st: NotStopd t0: [06:30:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: RRT v1: 0.5 u1: torr st: NotStopd t0: [06:30:00 30/11/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: RRT v1: 6 u1: lpm st: NotStopd t0: [06:30:00 30/11/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: RRT v1: 3 u1: cmH2O st: NotStopd t0: [06:30:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 40 u1: cmH2O st: NotStopd t0: [06:30:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: RRT v1: 40 u1: BPM st: NotStopd t0: [06:30:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: RRT v1: 8.0 mm st: NotStopd t0: [06:30:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: RRT v1: Endotracheal st: NotStopd t0: [06:30:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: RRT v1: 34 u1: Deg. C st: NotStopd t0: [06:30:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RRT v1: 7 v2: 5 st: NotStopd t0: [06:30:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: RRT v1: 6 st: NotStopd t0: [06:30:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: RRT v1: 12 u1: cmH2O st: NotStopd t0: [06:30:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: RRT v1: 9.1 u1: cmH2O st: NotStopd t0: [06:30:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: RRT v1: 12.8 u1: L/min st: NotStopd t0: [06:30:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: RRT v1: 5 u1: cmH2O st: NotStopd t0: [06:30:00 30/11/2009] id: Plateau-Off el: 0 cu: CSRU cg: RRT v1: Yes st: NotStopd t0: [06:30:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: RRT v1: 15 u1: . st: NotStopd t0: [06:30:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: RRT v1: 17 u1: BPM st: NotStopd t0: [06:30:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RRT v1: 100 u1: % st: NotStopd t0: [06:30:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: RRT v1: 740 u1: ml/B st: NotStopd t0: [06:30:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: RRT v1: CPAP+PS st: NotStopd t0: [06:30:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RRT v1: 11 u1: # st: NotStopd t0: [06:30:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RRT v1: 7200A st: NotStopd t0: [06:30:00 30/11/2009] id: Waveform-Vent el: 0 cu: CSRU cg: RRT v1: RAMP st: NotStopd
t0: [07:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 84 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 57 u1: mmHg st: NotStopd t0: [07:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [07:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [07:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml st: Stopped t0: [07:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [07:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [07:50:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [07:50:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [07:50:00 30/11/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [07:50:00 30/11/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [07:50:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [07:50:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [07:50:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [07:50:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [07:50:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [07:50:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [07:50:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 9.3 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.3 u1: L/min st: NotStopd t0: [07:50:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 15 u1: . st: NotStopd t0: [07:50:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 12 u1: BPM st: NotStopd t0: [07:50:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [07:50:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [07:50:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 650 u1: ml/B st: NotStopd t0: [07:50:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [07:50:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [07:50:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 30/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 30/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [08:00:00 30/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [08:00:00 30/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [08:00:00 30/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [08:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [08:00:00 30/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 30/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 30/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 30/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 30/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 30/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [08:00:00 30/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 30/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 30/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [08:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 30/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 30/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 30/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [08:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [08:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 30/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [08:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 20 u1: BPM st: NotStopd t0: [08:00:00 30/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 30/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [08:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [08:00:00 30/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 30/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 30/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.6111 u1: Deg. C st: NotStopd t0: [08:00:00 30/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 99.7 u1: Deg. F st: NotStopd t0: [08:00:00 30/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [08:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 30/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 30/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [08:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 10 vu: ml t0: [08:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [08:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [08:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
tf: [19:00:00 04/12/2009] pt: IV Piggyback rt: PB fr: ASDIR m1: Fentanyl Citrate f1: INJ v1: 2500 u1: mcg m2: D5W f2: INJ v2: 250 u2: ml
t0: [09:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [09:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [09:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [09:00:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [09:00:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [09:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [09:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [09:00:00 30/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [09:00:00 30/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Scant st: NotStopd t0: [09:00:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [09:00:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [09:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [10:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [10:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [10:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 63 u1: mmHg st: NotStopd t0: [10:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [10:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [10:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [09:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml t0: [10:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [10:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [10:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [09:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip t0: [10:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 50 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [10:00:00 30/11/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: RN ai: 155 vo: 60 vu: ml
t0: [23:00:00 30/11/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: CSRU cg: RN cv: 60 ap: none
t0: [11:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [11:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [11:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 65 u1: mmHg st: NotStopd t0: [11:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [11:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [11:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [11:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 5 vu: ml t0: [11:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [11:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [11:25:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 12 u1: . st: NotStopd
t0: [12:00:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [12:00:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [12:00:00 30/11/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [12:00:00 30/11/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [12:00:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [12:00:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [12:00:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [12:00:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [12:00:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [12:00:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [12:00:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 8.7 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10.2 u1: L/min st: NotStopd t0: [12:00:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 10 u1: . st: NotStopd t0: [12:00:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 19 u1: BPM st: NotStopd t0: [12:00:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [12:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [12:00:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 540 u1: ml/B st: NotStopd t0: [12:00:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [12:00:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [12:00:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [08:00:00 30/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 30/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 30/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [12:00:00 30/11/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [12:00:00 30/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [12:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [12:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [12:00:00 30/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 30/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [12:00:00 30/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [12:00:00 30/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 30/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [12:00:00 30/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 30/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 30/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [12:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 30/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 30/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 30/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 110 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [12:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [12:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [12:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [12:00:00 30/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 30/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [12:00:00 30/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 30/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [12:00:00 30/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 30/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [09:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [10:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [11:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [12:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [12:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 0 vu: ml t0: [12:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [12:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [13:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [13:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [13:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [13:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 70 u1: BPM st: NotStopd t0: [13:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [13:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [13:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [13:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [13:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [13:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [13:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [13:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [13:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [13:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 180 vu: ml
t0: [13:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [14:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [14:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [14:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [14:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [14:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 103 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [14:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [14:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [14:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 22 u1: BPM st: NotStopd t0: [14:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [14:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [14:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [14:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [14:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 360 vu: ml
t0: [14:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [14:36:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: RRT v1: 6 v2: Combivent st: NotStopd
t0: [15:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [15:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [15:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [15:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 84 u1: BPM st: NotStopd t0: [15:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [15:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [15:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 81 u1: mmHg st: NotStopd t0: [15:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [15:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [15:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [15:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [16:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [16:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [16:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [16:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [16:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [16:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 99 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [16:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 17 u1: BPM st: NotStopd t0: [16:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [16:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [15:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [15:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [15:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml t0: [16:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [16:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 2.5 vu: ml t0: [16:00:00 30/11/2009] tf: [04:00:00 01/12/2009] dt: 720 id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [16:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [15:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 25 du: mcghr sv: 50 su: ml rt: IV Drip t0: [16:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:15:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [17:15:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [17:15:00 30/11/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [17:15:00 30/11/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [17:15:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [17:15:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [17:15:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [17:15:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [17:15:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [17:15:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [17:15:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 6.8 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 8.45 u1: L/min st: NotStopd t0: [17:15:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 8 u1: . st: NotStopd t0: [17:15:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 17 u1: BPM st: NotStopd t0: [17:15:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [17:15:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [17:15:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 580 u1: ml/B st: NotStopd t0: [17:15:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [17:15:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [17:15:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [12:00:00 30/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [12:00:00 30/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [12:00:00 30/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [12:00:00 30/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [12:00:00 30/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [12:00:00 30/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Small st: NotStopd t0: [12:00:00 30/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [14:00:00 30/11/2009] id: Procedures el: 0 cu: CSRU cg: RN v1: Bronchoscopy st: NotStopd t0: [15:00:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: RN v1: 23cm v2: Lip st: NotStopd t0: [15:00:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: RN v1: 8.0 mm st: NotStopd t0: [15:00:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: RN v1: Endotracheal st: NotStopd t0: [15:00:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: RN v1: 7 v2: 5 st: NotStopd t0: [15:00:00 30/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: White v2: Thin st: NotStopd t0: [15:00:00 30/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [15:00:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: RN v1: 11 u1: # st: NotStopd t0: [15:00:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: RN v1: 7200A st: NotStopd t0: [16:00:00 30/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [16:00:00 30/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [16:00:00 30/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [17:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [17:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [17:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [17:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 88 u1: BPM st: NotStopd t0: [17:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [17:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 82 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [17:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [17:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [17:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [17:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [18:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [18:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [18:00:00 30/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [18:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [18:00:00 30/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [18:00:00 30/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 90 degrees st: NotStopd t0: [18:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [18:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: RN v1: Yes st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [18:00:00 30/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [18:00:00 30/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [18:00:00 30/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [18:00:00 30/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [18:00:00 30/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [18:00:00 30/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [18:00:00 30/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Approximated v2: Clean and Dry st: NotStopd t0: [18:00:00 30/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [18:00:00 30/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [18:00:00 30/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [18:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [18:00:00 30/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [18:00:00 30/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [18:00:00 30/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [18:00:00 30/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [18:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 120 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [18:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg st: NotStopd t0: [18:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [18:00:00 30/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [18:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [18:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [18:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [18:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [18:00:00 30/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [18:00:00 30/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 30/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [18:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [18:00:00 30/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [18:00:00 30/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [18:00:00 30/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [18:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [18:00:00 30/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [18:00:00 30/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Not Done st: NotStopd t0: [18:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [18:00:00 30/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [17:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [17:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [17:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [17:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [18:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [18:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [18:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [18:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [17:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip t0: [18:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [18:00:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd
t0: [18:07:00 30/11/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 41 u1: mmHg rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 136 u1: mmHg rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.46 rs: Final st: NotStopd
t0: [18:07:00 30/11/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 125 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.16 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Lactic Acid(0.5-2.0) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.5 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd t0: [18:07:00 30/11/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 141 rs: Final st: NotStopd
t0: [19:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [19:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [19:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [19:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [19:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 30/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [19:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: RN ai: 416 vo: 0 vu: ml t0: [19:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [19:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [19:00:00 30/11/2009] id: Fentanyl el: 1 cu: CSRU cg: RN so: .9% Normal Saline vo: 0 v1: 0 du: mcghr sv: 50 su: ml rt: IV Drip
t0: [17:55:00 30/11/2009] id: Phosphorous(2.7-4.5) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.2 u1: mEq/L rs: Final st: NotStopd
t0: [20:00:00 30/11/2009] id: .9% Normal Saline 250.0ml + 2500mcghr Fentanyl IV Infusions el: 2 cu: CSRU cg: -1 ai: 416 vo: 0 st: D/C'd
t0: [20:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [20:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [20:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [20:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [20:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [20:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [20:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [20:00:00 30/11/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [20:00:00 30/11/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [20:00:00 30/11/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [20:00:00 30/11/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.8889 u1: Deg. C st: NotStopd t0: [20:00:00 30/11/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 100.2 u1: Deg. F st: NotStopd
t0: [20:00:00 30/11/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml
t0: [20:00:00 30/11/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [20:00:00 30/11/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [20:00:00 30/11/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [20:00:00 30/11/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [20:00:00 30/11/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [20:00:00 30/11/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [20:00:00 30/11/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [20:00:00 30/11/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [20:00:00 30/11/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [20:00:00 30/11/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.1 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 10.9 u1: L/min st: NotStopd t0: [20:00:00 30/11/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [20:00:00 30/11/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [20:00:00 30/11/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [20:00:00 30/11/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 480 u1: ml/B st: NotStopd t0: [20:00:00 30/11/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [20:00:00 30/11/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [20:00:00 30/11/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [22:00:00 30/11/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [22:00:00 30/11/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 30/11/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [22:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 30/11/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [22:00:00 30/11/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [22:00:00 30/11/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [22:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 77 u1: BPM st: NotStopd t0: [22:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [22:00:00 30/11/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 30/11/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 30/11/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 30/11/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [22:00:00 30/11/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [22:00:00 30/11/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [22:00:00 30/11/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [22:00:00 30/11/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 30/11/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [22:00:00 30/11/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [22:00:00 30/11/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 30/11/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 30/11/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 30/11/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 117 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [22:00:00 30/11/2009] id: Pain Location el: 0 cu: CSRU cg: RN v1: Not Indicated st: NotStopd t0: [22:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 73 u1: mmHg st: NotStopd t0: [22:00:00 30/11/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [22:00:00 30/11/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [22:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 30/11/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [22:00:00 30/11/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [22:00:00 30/11/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 30/11/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [22:00:00 30/11/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 30/11/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [22:00:00 30/11/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 30/11/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 30/11/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [22:00:00 30/11/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [22:00:00 30/11/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 30/11/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 140 vu: ml t0: [22:00:00 30/11/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 80 vu: ml
t0: [23:00:00 30/11/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 30/11/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN cv: 0 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN cv: 687.5 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN cv: 1797.5 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: RN cv: 1050 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN cv: 2985 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN cv: -1187.5 ap: none t0: [23:00:00 30/11/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN cv: 2985 ap: none t0: [23:00:00 30/11/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN cv: -5840.02 ap: carryForward
t0: [23:00:00 30/11/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 30/11/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 30/11/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 30/11/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 30/11/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 94 u1: BPM st: NotStopd t0: [23:00:00 30/11/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 30/11/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 145 u1: mmHg v2: 62 u2: mmHg st: NotStopd t0: [23:00:00 30/11/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg st: NotStopd t0: [23:00:00 30/11/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 30/11/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [23:00:00 30/11/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 99 u1: % st: NotStopd t0: [23:00:00 30/11/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [00:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 89 u1: BPM st: NotStopd t0: [00:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 112 u1: mmHg v2: 54 u2: mmHg st: NotStopd t0: [00:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 76 u1: mmHg st: NotStopd t0: [00:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [00:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [00:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [22:00:00 30/11/2009] tf: [09:00:00 02/12/2009] dt: 2100 id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: RN ai: 124 vo: 20 vu: ml t0: [00:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [00:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [00:00:00 01/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 140 vu: ml t0: [00:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 60 vu: ml
t0: [20:00:00 30/11/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 01/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [00:00:00 01/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [00:00:00 01/12/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [00:00:00 01/12/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [00:00:00 01/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [00:00:00 01/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [00:00:00 01/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [00:00:00 01/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [00:00:00 01/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [00:00:00 01/12/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [00:00:00 01/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.6 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 11.6 u1: L/min st: NotStopd t0: [00:00:00 01/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [00:00:00 01/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [00:00:00 01/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [00:00:00 01/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 450 u1: ml/B st: NotStopd t0: [00:00:00 01/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [00:00:00 01/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [00:00:00 01/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd
t0: [00:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [00:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 90 u1: BPM st: NotStopd t0: [01:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [01:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [01:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [01:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [01:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: RN v1: Yellow v2: Thick st: NotStopd t0: [01:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: RN v1: Suctioned v2: Moderate st: NotStopd t0: [01:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [01:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [01:00:00 01/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [01:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 450 vu: ml
t0: [01:15:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 160 vu: ml
t0: [23:00:00 30/11/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 30/11/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [23:00:00 30/11/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [02:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 01/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [02:00:00 01/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Feeding st: NotStopd t0: [02:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [02:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [02:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Sleeping st: NotStopd t0: [02:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [02:00:00 01/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [02:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [02:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [02:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [02:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 150 vu: ml t0: [02:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [02:00:00 01/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [02:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 120 vu: ml
t0: [03:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [03:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [03:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [03:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [03:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [03:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [03:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [03:00:00 01/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: RN ai: 107 vo: 70 vu: ml t0: [03:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [03:51:00 01/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 8 rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 33 rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 42 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 116 u1: mmHg rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.49 rs: Final st: NotStopd t0: [03:51:00 01/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 99 u1: % rs: Final st: NotStopd
t0: [02:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [02:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [02:00:00 01/12/2009] id: Pain Location el: 0 cu: CSRU cg: -1 v1: Not Indicated st: NotStopd t0: [03:00:00 01/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [03:00:00 01/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.3889 u1: Deg. C st: NotStopd t0: [03:00:00 01/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99.3 u1: Deg. F st: NotStopd t0: [04:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [04:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [04:00:00 01/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [04:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [04:00:00 01/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: -1 v1: 0.5 u1: torr st: NotStopd t0: [04:00:00 01/12/2009] id: Flow-By (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [04:00:00 01/12/2009] id: Flow-by Sensitivity el: 0 cu: CSRU cg: -1 v1: 3 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 76 u1: BPM st: NotStopd t0: [04:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [04:00:00 01/12/2009] id: High Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 40 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: High Resp. Rate el: 0 cu: CSRU cg: -1 v1: 40 u1: BPM st: NotStopd t0: [04:00:00 01/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [04:00:00 01/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [04:00:00 01/12/2009] id: Inspired Gas Temp el: 0 cu: CSRU cg: -1 v1: 34 u1: Deg. C st: NotStopd t0: [04:00:00 01/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v1: 7 v2: 5 st: NotStopd t0: [04:00:00 01/12/2009] id: Low Exhaled Min Vol el: 0 cu: CSRU cg: -1 v1: 6 st: NotStopd t0: [04:00:00 01/12/2009] id: Low Insp. Pressure el: 0 cu: CSRU cg: -1 v1: 12 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: MDI #1 (Puff/Drug) el: 0 cu: CSRU cg: -1 v1: 6 v2: Combivent st: NotStopd t0: [04:00:00 01/12/2009] id: Mean Airway Pressure el: 0 cu: CSRU cg: -1 v1: 7.4 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: Minute Volume(Obser) el: 0 cu: CSRU cg: -1 v1: 12.2 u1: L/min st: NotStopd t0: [04:00:00 01/12/2009] id: PEEP Set el: 0 cu: CSRU cg: -1 v1: 5 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [04:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [04:00:00 01/12/2009] id: Pressure Support el: 0 cu: CSRU cg: -1 v1: 5 u1: . st: NotStopd t0: [04:00:00 01/12/2009] id: Resp Rate (Total) el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [04:00:00 01/12/2009] id: Sensitivity-Vent el: 0 cu: CSRU cg: -1 v1: 2 u1: cmH2O st: NotStopd t0: [04:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [04:00:00 01/12/2009] id: Tidal Volume (Spont) el: 0 cu: CSRU cg: -1 v1: 500 u1: ml/B st: NotStopd t0: [04:00:00 01/12/2009] id: Ventilator Mode el: 0 cu: CSRU cg: -1 v1: CPAP+PS st: NotStopd t0: [04:00:00 01/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [04:00:00 01/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [04:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [04:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [04:00:00 01/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 70 vu: ml st: Stopped
t0: [23:00:00 01/12/2009] dt: 24 id: Tube Feeds In Total el: 3 cu: CSRU cg: -1 cv: 420 ap: none
t0: [03:51:00 01/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.697 u1: ml/dl st: NotStopd t0: [04:15:00 01/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 27.5 u1: % rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.3 u1: gm/dl rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 327 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 2.92 u1: /mic l rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 11.1 rs: Final st: NotStopd
t0: [22:00:00 30/11/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [22:00:00 30/11/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [04:00:00 01/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 01/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [04:00:00 01/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/12/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 01/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [04:00:00 01/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [04:00:00 01/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [04:00:00 01/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [04:00:00 01/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [04:00:00 01/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Appropriate st: NotStopd t0: [05:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: RN v1: No st: NotStopd t0: [05:00:00 01/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [05:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [05:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 01/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [05:00:00 01/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 11 u1: points st: NotStopd t0: [05:00:00 01/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: RN v1: Salem Sump v2: Oral st: NotStopd t0: [05:00:00 01/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: RN v1: Clamped st: NotStopd t0: [05:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 45 degrees st: NotStopd t0: [05:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [05:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [05:00:00 01/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [05:00:00 01/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [05:00:00 01/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [05:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [05:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [05:00:00 01/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [05:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [05:00:00 01/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [05:00:00 01/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [05:00:00 01/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [05:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 111 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [05:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [05:00:00 01/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [05:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [05:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 01/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Coarse st: NotStopd t0: [05:00:00 01/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [05:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [05:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [05:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Back st: NotStopd t0: [05:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [05:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [05:00:00 01/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 1.0 ET/Trach st: NotStopd t0: [05:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 01/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [05:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 140 vu: ml
t0: [04:15:00 01/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 40 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 29 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 102 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.1 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 135 rs: Final st: NotStopd t0: [04:15:00 01/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 139 rs: Final st: NotStopd
t0: [04:15:00 01/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: RN v1: 3.5 rs: Final st: NotStopd
t0: [05:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 105 vo: 100 vu: ml t0: [05:00:00 01/12/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [05:00:00 01/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: RN vo: 0 vu: ml
t0: [06:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 80 u1: BPM st: NotStopd t0: [06:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 105 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [06:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 71 u1: mmHg st: NotStopd t0: [06:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [06:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 01/12/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [06:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [06:45:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:45:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:45:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:45:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:45:00 01/12/2009] id: FiO2 Set el: 0 cu: CSRU cg: RN v1: 0.4 u1: torr st: NotStopd t0: [06:45:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 82 u1: BPM st: NotStopd t0: [06:45:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:45:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Aerosol-Cool st: NotStopd t0: [06:45:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 12 u1: lpm st: NotStopd t0: [06:45:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 124 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [06:45:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg st: NotStopd t0: [06:45:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:45:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [06:45:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 100 u1: % st: NotStopd t0: [06:45:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 86 u1: BPM st: NotStopd t0: [07:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [07:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 77 u1: mmHg st: NotStopd t0: [07:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [07:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [07:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [07:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [08:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [08:00:00 01/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [08:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [08:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [08:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [08:00:00 01/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [08:00:00 01/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Called st: NotStopd t0: [08:00:00 01/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [08:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [08:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 87 u1: BPM st: NotStopd t0: [08:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [08:00:00 01/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [08:00:00 01/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [08:00:00 01/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [08:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [08:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [08:00:00 01/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 01/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 01/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [08:00:00 01/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [08:00:00 01/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [08:00:00 01/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v2: 5 st: NotStopd t0: [08:00:00 01/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [08:00:00 01/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [08:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 6 u1: lpm st: NotStopd t0: [08:00:00 01/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 01/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [08:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [08:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 61 u1: mmHg st: NotStopd t0: [08:00:00 01/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [08:00:00 01/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [08:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [08:00:00 01/12/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [08:00:00 01/12/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [08:00:00 01/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [08:00:00 01/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [08:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [08:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 26 u1: BPM st: NotStopd t0: [08:00:00 01/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [08:00:00 01/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [08:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [08:00:00 01/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [08:00:00 01/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [08:00:00 01/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 37.2222 u1: Deg. C st: NotStopd t0: [08:00:00 01/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 99 u1: Deg. F st: NotStopd t0: [08:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [08:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [08:00:00 01/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [08:00:00 01/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [08:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [08:00:00 01/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [08:00:00 01/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Activity el: 0 cu: CSRU cg: -1 v1: Walks Occasional st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Frict/Shear el: 0 cu: CSRU cg: -1 v1: No Apparent Prob st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Mobility el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Moisture el: 0 cu: CSRU cg: -1 v1: Occ. Moist st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Nutrition el: 0 cu: CSRU cg: -1 v1: Prob. Inadequate st: NotStopd t0: [08:00:00 01/12/2009] id: Braden Score el: 0 cu: CSRU cg: -1 v1: 17 u1: number st: NotStopd t0: [08:00:00 01/12/2009] id: Braden SensoryPercep el: 0 cu: CSRU cg: -1 v1: Sl. Limited st: NotStopd
t0: [08:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [08:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [08:00:00 01/12/2009] tf: [13:06:00 02/12/2009] dt: 1746 id: Stool Out Stool el: 1 cu: CSRU cg: -1 vo: 1 vu: ml t0: [08:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [09:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [09:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [09:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [09:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [09:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 85 u1: BPM st: NotStopd t0: [09:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [09:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 123 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [09:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 72 u1: mmHg st: NotStopd t0: [09:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [09:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [09:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [09:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [09:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [09:00:00 01/12/2009] id: Stool Out Stool el: 1 cu: CSRU cg: -1 vo: 1 vu: ml t0: [09:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml
t0: [23:00:00 01/12/2009] dt: 24 id: Stool Out Total el: 3 cu: CSRU cg: -1 cv: 2 ap: none
t0: [10:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [10:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [10:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [10:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [10:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 81 u1: BPM st: NotStopd t0: [10:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [10:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [10:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [10:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [10:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [10:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [10:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [10:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [10:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml
t0: [11:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [11:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [11:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [11:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [11:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [11:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [11:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [11:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [11:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [11:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [11:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [11:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 4 u1: lpm st: NotStopd t0: [11:00:00 01/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [11:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 68 u1: mmHg st: NotStopd t0: [11:00:00 01/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [11:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [11:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [11:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [11:00:00 01/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 100 u1: % st: NotStopd t0: [11:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [11:00:00 01/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [12:00:00 01/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 01/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [12:00:00 01/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [12:00:00 01/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [12:00:00 01/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [12:00:00 01/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [12:00:00 01/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 01/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 01/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [12:00:00 01/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [12:00:00 01/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [12:00:00 01/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [12:00:00 01/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 01/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [12:00:00 01/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [12:00:00 01/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [12:00:00 01/12/2009] id: Pupil Response R/L el: 0 cu: CSRU cg: -1 v1: Brisk v2: Brisk st: NotStopd t0: [12:00:00 01/12/2009] id: Pupil Size R/L el: 0 cu: CSRU cg: -1 v1: 4 mm v2: 4 mm st: NotStopd t0: [12:00:00 01/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [12:00:00 01/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [12:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [12:00:00 01/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [12:00:00 01/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [12:00:00 01/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [12:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [12:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [12:00:00 01/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [12:00:00 01/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [12:00:00 01/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd
t0: [11:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [11:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [12:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [12:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [12:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [12:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [12:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [12:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [12:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 115 u1: mmHg v2: 57 u2: mmHg st: NotStopd t0: [12:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 77 u1: mmHg st: NotStopd t0: [12:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [12:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 18 u1: BPM st: NotStopd t0: [12:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [12:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [12:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [12:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 300 vu: ml
t0: [11:49:00 01/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 159 rs: Final st: NotStopd t0: [11:49:00 01/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [11:49:00 01/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.37 rs: Final st: NotStopd
t0: [13:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [13:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [13:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [13:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [13:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 45 degrees st: NotStopd t0: [13:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 83 u1: BPM st: NotStopd t0: [13:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [13:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Chair st: NotStopd t0: [13:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [13:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 58 u2: mmHg st: NotStopd t0: [13:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 78 u1: mmHg st: NotStopd t0: [13:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [13:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [13:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [13:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 94 u1: % st: NotStopd t0: [13:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Back st: NotStopd t0: [13:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [13:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [13:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [13:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 300 vu: ml
t0: [13:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [13:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [13:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd
t0: [14:00:00 01/12/2009] id: Cuff Pressure-Airway el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: ETT Position Change el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Extubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 st: D/C'd t0: [14:00:00 01/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [14:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [14:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [14:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [14:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [14:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 90 u1: BPM st: NotStopd t0: [14:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [14:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 91 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [14:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 67 u1: mmHg st: NotStopd t0: [14:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [14:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 21 u1: BPM st: NotStopd t0: [14:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [14:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [14:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 100 vu: ml t0: [14:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [14:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 250 vu: ml
t0: [14:03:00 01/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 157 rs: Final st: NotStopd t0: [14:03:00 01/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 31 u1: % rs: Final st: NotStopd t0: [14:03:00 01/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4.6 rs: Final st: NotStopd
t0: [13:00:00 01/12/2009] id: Temp. Site el: 0 cu: CSRU cg: -1 v1: Oral st: NotStopd t0: [13:00:00 01/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6667 u1: Deg. C st: NotStopd t0: [13:00:00 01/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 98 u1: Deg. F st: NotStopd t0: [15:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [15:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [15:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [15:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [15:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 84 u1: BPM st: NotStopd t0: [15:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [15:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 100 u1: mmHg v2: 49 u2: mmHg st: NotStopd t0: [15:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 65 u1: mmHg st: NotStopd t0: [15:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [15:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 25 u1: BPM st: NotStopd t0: [15:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 97 u1: % st: NotStopd t0: [15:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [15:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [15:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 70 vu: ml
t0: [11:00:00 01/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [11:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thin st: NotStopd t0: [11:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 01/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 01/12/2009] id: ETT Mark/Location el: 0 cu: CSRU cg: -1 v1: 23cm v2: Lip st: NotStopd t0: [13:00:00 01/12/2009] id: Airway Size el: 0 cu: CSRU cg: -1 v1: 8.0 mm st: NotStopd t0: [13:00:00 01/12/2009] id: Airway Type el: 0 cu: CSRU cg: -1 v1: Endotracheal st: NotStopd t0: [13:00:00 01/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [13:00:00 01/12/2009] id: Intubation Date el: 0 cu: CSRU cg: -1 v2: 5 st: NotStopd t0: [13:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Clear v2: Thick st: NotStopd t0: [13:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [13:00:00 01/12/2009] id: Ventilator No. el: 0 cu: CSRU cg: -1 v1: 11 u1: # st: NotStopd t0: [13:00:00 01/12/2009] id: Ventilator Type el: 0 cu: CSRU cg: -1 v1: 7200A st: NotStopd t0: [15:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [15:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [16:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [16:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [16:00:00 01/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: -1 v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [16:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2009] id: Eye Opening el: 0 cu: CSRU cg: -1 v1: 4 Spontaneously st: NotStopd t0: [16:00:00 01/12/2009] id: Family Communication el: 0 cu: CSRU cg: -1 v1: Family Visited st: NotStopd t0: [16:00:00 01/12/2009] id: GCS Total el: 0 cu: CSRU cg: -1 v1: 15 u1: points st: NotStopd t0: [16:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 73 u1: BPM st: NotStopd t0: [16:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [16:00:00 01/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: -1 v1: Soft st: NotStopd t0: [16:00:00 01/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 01/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: -1 v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [16:00:00 01/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [16:00:00 01/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [16:00:00 01/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: -1 v1: Sternum st: NotStopd t0: [16:00:00 01/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: -1 v1: Left Leg st: NotStopd t0: [16:00:00 01/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Clear st: NotStopd t0: [16:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: -1 v1: Alert st: NotStopd t0: [16:00:00 01/12/2009] id: Motor Response el: 0 cu: CSRU cg: -1 v1: 6 Obeys Commands st: NotStopd t0: [16:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [16:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [16:00:00 01/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: -1 v1: Teeth/Tissue WNL st: NotStopd t0: [16:00:00 01/12/2009] id: Orientation el: 0 cu: CSRU cg: -1 v1: Oriented x 3 st: NotStopd t0: [16:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 102 u1: mmHg v2: 50 u2: mmHg st: NotStopd t0: [16:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 66 u1: mmHg st: NotStopd t0: [16:00:00 01/12/2009] id: PostTib. Pulses R/L el: 0 cu: CSRU cg: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd t0: [16:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [16:00:00 01/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Diminished st: NotStopd t0: [16:00:00 01/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: -1 v1: Coarse st: NotStopd t0: [16:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: -1 v1: Regular st: NotStopd t0: [16:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 30 u1: BPM st: NotStopd t0: [16:00:00 01/12/2009] id: Side Rails el: 0 cu: CSRU cg: -1 v1: Side Rails Up st: NotStopd t0: [16:00:00 01/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: -1 v1: Intact st: NotStopd t0: [16:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [16:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: White v2: Thick st: NotStopd t0: [16:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Small st: NotStopd t0: [16:00:00 01/12/2009] id: Support Systems el: 0 cu: CSRU cg: -1 v1: Spouse st: NotStopd t0: [16:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: -1 v1: Yellow v2: Clear st: NotStopd t0: [16:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: -1 v1: Indwelling Cath st: NotStopd t0: [16:00:00 01/12/2009] id: Verbal Response el: 0 cu: CSRU cg: -1 v1: 5 Oriented st: NotStopd t0: [16:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [16:00:00 01/12/2009] id: Behavior el: 0 cu: CSRU cg: -1 v1: Appropriate st: NotStopd t0: [16:00:00 01/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: -1 v1: Hypoactive st: NotStopd t0: [17:00:00 01/12/2009] id: Pain Present el: 0 cu: CSRU cg: -1 v1: No st: NotStopd t0: [17:00:00 01/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [17:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [17:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [17:00:00 01/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: -1 v1: Calm/Cooperative st: NotStopd t0: [17:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [17:00:00 01/12/2009] id: HOB el: 0 cu: CSRU cg: -1 v1: 30 degrees st: NotStopd t0: [17:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 70 u1: BPM st: NotStopd t0: [17:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 v1: 10 v2: 9 st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 v1: Multi-lumen v2: Right IJ st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 6 st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 v1: A-Line v2: Left Radial st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 v1: 10 v2: 7 st: NotStopd t0: [17:00:00 01/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 v1: WNL st: NotStopd t0: [17:00:00 01/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 v1: Sharp st: NotStopd t0: [17:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: -1 v1: Bedrest st: NotStopd t0: [17:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: -1 v1: Tolerated Well st: NotStopd t0: [17:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [17:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [17:00:00 01/12/2009] id: Oral Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 111 u1: mmHg v2: 53 u2: mmHg st: NotStopd t0: [17:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 70 u1: mmHg st: NotStopd t0: [17:00:00 01/12/2009] id: Position el: 0 cu: CSRU cg: -1 v1: Supine st: NotStopd t0: [17:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: -1 v1: 1 Person Assist st: NotStopd t0: [17:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [17:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 27 u1: BPM st: NotStopd t0: [17:00:00 01/12/2009] id: Skin Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 98 u1: % st: NotStopd t0: [17:00:00 01/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: -1 v1: 36.6111 u1: Deg. C st: NotStopd t0: [17:00:00 01/12/2009] id: Temperature F el: 0 cu: CSRU cg: -1 v1: 97.9 u1: Deg. F st: NotStopd t0: [17:00:00 01/12/2009] id: Turn el: 0 cu: CSRU cg: -1 v1: Turns by self st: NotStopd t0: [17:00:00 01/12/2009] id: Back Care el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [17:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd t0: [18:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: -1 v1: CSRU st: NotStopd t0: [18:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: -1 v1: Full Code st: NotStopd t0: [18:00:00 01/12/2009] id: Cough/Deep Breathe el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: -1 v1: None st: NotStopd t0: [18:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: -1 v1: 78 u1: BPM st: NotStopd t0: [18:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: -1 v1: Normal Sinus st: NotStopd t0: [18:00:00 01/12/2009] id: Incentive Spirometry el: 0 cu: CSRU cg: -1 v1: Done st: NotStopd t0: [18:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: -1 v1: Nasal Cannula st: NotStopd t0: [18:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: -1 v1: 2 u1: lpm st: NotStopd t0: [18:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 v1: 117 u1: mmHg v2: 56 u2: mmHg st: NotStopd t0: [18:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 v1: 74 u1: mmHg st: NotStopd t0: [18:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: -1 v1: Universal st: NotStopd t0: [18:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: -1 v1: 24 u1: BPM st: NotStopd t0: [18:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: -1 v1: 99 u1: % st: NotStopd t0: [18:00:00 01/12/2009] id: Sputum Color/Consist el: 0 cu: CSRU cg: -1 v1: Yellow v2: Thin st: NotStopd t0: [18:00:00 01/12/2009] id: Sputum Source/Amt el: 0 cu: CSRU cg: -1 v1: Expectorated v2: Scant st: NotStopd t0: [18:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: -1 v1: 1 u1: kg st: NotStopd
t0: [16:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [16:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 40 vu: ml t0: [17:00:00 01/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 50 vu: ml t0: [17:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [17:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 50 vu: ml t0: [18:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 5 vu: ml t0: [18:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 35 vu: ml
t0: [18:29:00 01/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 u1: mmHg rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.47 rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 144 rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 29 u1: % rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.14 rs: Final st: NotStopd t0: [18:29:00 01/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 3.8 rs: Final st: NotStopd
t0: [19:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [19:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [19:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [19:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 76 u1: BPM st: NotStopd t0: [19:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [19:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 44 u2: mmHg st: NotStopd t0: [19:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [19:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [19:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [19:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [19:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [19:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [19:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [20:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [20:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [20:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [20:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [20:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [20:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 114 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [20:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [20:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [20:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 31 u1: BPM st: NotStopd t0: [20:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [20:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [20:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [20:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [21:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [21:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [21:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [21:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 71 u1: BPM st: NotStopd t0: [21:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [21:00:00 01/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Commode st: NotStopd t0: [21:00:00 01/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [21:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [21:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [21:00:00 01/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [21:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [21:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 30 u1: BPM st: NotStopd t0: [21:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [21:00:00 01/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [21:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [22:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [22:00:00 01/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [22:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [22:00:00 01/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [22:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 67 u1: BPM st: NotStopd t0: [22:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [22:00:00 01/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [22:00:00 01/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [22:00:00 01/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [22:00:00 01/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [22:00:00 01/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [22:00:00 01/12/2009] id: Inc Drainage/Amt #1 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2009] id: Inc Drainage/Amt #3 el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [22:00:00 01/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [22:00:00 01/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [22:00:00 01/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 01/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 01/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [22:00:00 01/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [22:00:00 01/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [22:00:00 01/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [22:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 94 u1: mmHg v2: 41 u2: mmHg st: NotStopd t0: [22:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [22:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [22:00:00 01/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [22:00:00 01/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [22:00:00 01/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [22:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 19 u1: BPM st: NotStopd t0: [22:00:00 01/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [22:00:00 01/12/2009] id: Skin Integrity el: 0 cu: CSRU cg: RN v1: Intact st: NotStopd t0: [22:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [22:00:00 01/12/2009] id: Stool Guaiac el: 0 cu: CSRU cg: RN v1: Negative st: NotStopd t0: [22:00:00 01/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [22:00:00 01/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [22:00:00 01/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [22:00:00 01/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [22:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [22:00:00 01/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [21:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml t0: [22:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [22:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [23:00:00 01/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [23:00:00 01/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [23:00:00 01/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 01/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [23:00:00 01/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [23:00:00 01/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [23:00:00 01/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [23:00:00 01/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 62 u1: mmHg st: NotStopd t0: [23:00:00 01/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [23:00:00 01/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [23:00:00 01/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [23:00:00 01/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [23:00:00 01/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [23:00:00 01/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 45 vu: ml
t0: [23:00:00 01/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: CSRU cg: RN pv: 45 cv: 45 ap: none t0: [23:00:00 01/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -40 ap: none t0: [23:00:00 01/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: CSRU cg: RN pv: 5 cv: 875 ap: none t0: [23:00:00 01/12/2009] dt: 24 id: 24h Total In el: 3 cu: CSRU cg: RN pv: 5 cv: 1295 ap: none t0: [23:00:00 01/12/2009] dt: 24 id: Urine Out Total el: 3 cu: CSRU cg: RN pv: 45 cv: 2585 ap: none t0: [23:00:00 01/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -1292 ap: none t0: [23:00:00 01/12/2009] dt: 24 id: 24h Total Out el: 3 cu: CSRU cg: RN pv: 45 cv: 2587 ap: none t0: [23:00:00 01/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: CSRU cg: RN pv: -40 cv: -7132.02 ap: carryForward
t0: [00:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [00:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [00:00:00 02/12/2009] id: Ectopy Frequency el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [00:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 69 u1: BPM st: NotStopd t0: [00:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [00:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 95 u1: mmHg v2: 40 u2: mmHg st: NotStopd t0: [00:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [00:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [00:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [00:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [00:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [00:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [00:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 40 vu: ml
t0: [23:00:00 02/12/2009] dt: 1 id: Total Hourly Output el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 02/12/2009] dt: 1 id: Net Hourly Balance el: 3 cu: -1 cg: RN cv: 0 ap: none t0: [23:00:00 02/12/2009] dt: 24 id: IV Infusion In Total el: 3 cu: -1 cg: RN cv: 100 ap: none t0: [23:00:00 02/12/2009] dt: 24 id: 24h Total In el: 3 cu: -1 cg: RN cv: 460 ap: none t0: [23:00:00 02/12/2009] dt: 24 id: Urine Out Total el: 3 cu: -1 cg: RN cv: 915 ap: none t0: [23:00:00 02/12/2009] dt: 24 id: 24h Net Body Balance el: 3 cu: -1 cg: RN cv: -455 ap: none t0: [23:00:00 02/12/2009] dt: 24 id: 24h Total Out el: 3 cu: -1 cg: RN cv: 915 ap: none t0: [23:00:00 02/12/2009] dt: multiple days id: LOS Net Body Balance el: 3 cu: -1 cg: RN cv: -7587.02 ap: carryForward
t0: [01:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [01:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [01:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [01:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [01:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [01:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [01:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 87 u1: mmHg v2: 37 u2: mmHg st: NotStopd t0: [01:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [01:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [01:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [01:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [01:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [02:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [02:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [02:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [02:00:00 02/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [02:00:00 02/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [02:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 72 u1: BPM st: NotStopd t0: [02:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [02:00:00 02/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [02:00:00 02/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [02:00:00 02/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 02/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 02/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [02:00:00 02/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [02:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 113 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [02:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 67.6667 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [02:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 86 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [02:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 54 u1: mmHg st: NotStopd t0: [02:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [02:00:00 02/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [02:00:00 02/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [02:00:00 02/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [02:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 21 u1: BPM st: NotStopd t0: [02:00:00 02/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [02:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [02:00:00 02/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [02:00:00 02/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [02:00:00 02/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [02:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [02:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [02:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 75 vu: ml
t0: [03:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [03:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [03:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [03:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [03:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [03:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 52 u2: mmHg st: NotStopd t0: [03:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 68 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 80 u1: mmHg v2: 36 u2: mmHg st: NotStopd t0: [03:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 50 u1: mmHg st: NotStopd t0: [03:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [03:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [03:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [03:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [04:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 10 vu: ml t0: [04:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [04:46:00 02/12/2009] id: Art.pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Arterial Base Excess ABG el: 0 cu: CSRU cg: 3161 v1: 5 rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Arterial CO2(Calc) ABG el: 0 cu: CSRU cg: 3161 v1: 30 rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Arterial PaCO2 ABG el: 0 cu: CSRU cg: 3161 v1: 36 u1: mmHg rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Arterial PaO2 ABG el: 0 cu: CSRU cg: 3161 v1: 72 u1: mmHg rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Arterial pH ABG el: 0 cu: CSRU cg: 3161 v1: 7.51 rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: Ionized Calcium Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.11 rs: Final st: NotStopd t0: [04:46:00 02/12/2009] id: SaO2 ABG's el: 0 cu: CSRU cg: 3161 v1: 96 u1: % rs: Final st: NotStopd
t0: [04:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [04:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [04:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [04:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 74 u1: BPM st: NotStopd t0: [04:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [04:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 63.3333 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 104 u1: mmHg v2: 45 u2: mmHg st: NotStopd t0: [04:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [04:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [04:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 23 u1: BPM st: NotStopd t0: [04:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [04:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [05:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [05:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [05:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [05:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 79 u1: BPM st: NotStopd t0: [05:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [05:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [05:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59.6667 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [05:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 61 u1: mmHg st: NotStopd t0: [05:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [05:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [05:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 95 u1: % st: NotStopd t0: [05:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [05:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [05:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 400 vu: ml
t0: [23:00:00 01/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [23:00:00 01/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [23:00:00 01/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd t0: [05:00:00 02/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [05:00:00 02/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 36.6667 u1: Deg. C st: NotStopd t0: [05:00:00 02/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98 u1: Deg. F st: NotStopd
t0: [04:46:00 02/12/2009] id: CaO2 el: 0 cu: CSRU cg: 3161 v1: 12.5726 u1: ml/dl st: NotStopd t0: [04:58:00 02/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Hematocrit Hematology el: 0 cu: CSRU cg: 3161 v1: 28.7 u1: % rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Hemoglobin Hematology el: 0 cu: CSRU cg: 3161 v1: 9.6 u1: gm/dl rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Platelets Hematology el: 0 cu: CSRU cg: 3161 v1: 339 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: RBC Hematology el: 0 cu: CSRU cg: 3161 v1: 3.03 u1: /mic l rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: WBC (4-11,000) Hematology el: 0 cu: CSRU cg: 3161 v1: 9.7 rs: Final st: NotStopd
t0: [06:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [06:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [06:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [06:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [06:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [06:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 96 u1: mmHg v2: 46 u2: mmHg st: NotStopd t0: [06:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 62.6667 u1: mmHg st: NotStopd t0: [06:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 88 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [06:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [06:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [06:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [06:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [06:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [06:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [06:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [04:58:00 02/12/2009] id: BUN (6-20) Chemistry el: 0 cu: CSRU cg: 3161 v1: 34 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Carbon Dioxide Chemistry el: 0 cu: CSRU cg: 3161 v1: 26 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Chloride (100-112) Chemistry el: 0 cu: CSRU cg: 3161 v1: 104 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Creatinine (0-1.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 1.2 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Glucose (70-105) Chemistry el: 0 cu: CSRU cg: 3161 v1: 83 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Potassium (3.5-5.3) Chemistry el: 0 cu: CSRU cg: 3161 v1: 4 rs: Final st: NotStopd t0: [04:58:00 02/12/2009] id: Sodium (135-148) Chemistry el: 0 cu: CSRU cg: 3161 v1: 138 rs: Final st: NotStopd
t0: [02:00:00 02/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [02:00:00 02/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [02:00:00 02/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [02:00:00 02/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [02:00:00 02/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Right Side st: NotStopd t0: [06:00:00 02/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [06:00:00 02/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [06:00:00 02/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [06:00:00 02/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [06:00:00 02/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Left Side st: NotStopd t0: [07:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [07:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [07:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [07:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [07:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [07:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 91 u1: mmHg v2: 43 u2: mmHg st: NotStopd t0: [07:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 59 u1: mmHg st: NotStopd t0: [07:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 89 u1: mmHg v2: 42 u2: mmHg st: NotStopd t0: [07:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 58 u1: mmHg st: NotStopd t0: [07:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [07:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 27 u1: BPM st: NotStopd t0: [07:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 96 u1: % st: NotStopd t0: [07:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [07:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 50 vu: ml
t0: [06:00:00 02/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [06:00:00 02/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [06:00:00 02/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [06:00:00 02/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 02/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 02/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [06:00:00 02/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [06:00:00 02/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [06:00:00 02/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Diminished st: NotStopd t0: [06:00:00 02/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [06:00:00 02/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [06:00:00 02/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [06:00:00 02/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd
t0: [07:00:00 02/12/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: RN ai: 107 vo: 50 vu: ml t0: [07:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml
t0: [23:00:00 01/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [23:00:00 01/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [04:00:00 02/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [04:00:00 02/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd
t0: [06:00:00 02/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [06:00:00 02/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [06:00:00 02/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [06:00:00 02/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd
t0: [08:00:00 02/12/2009] id: GI Intub #1/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/12/2009] id: GI#1 Tube PlaceCheck el: 0 cu: CSRU cg: -1 st: D/C'd t0: [08:00:00 02/12/2009] id: GI#1 Tube Stat/Drain el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [08:00:00 02/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [08:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [08:00:00 02/12/2009] id: Riker-SAS Scale el: 0 cu: CSRU cg: RN v1: Calm/Cooperative st: NotStopd t0: [08:00:00 02/12/2009] id: Dorsal PedPulse R/L el: 0 cu: CSRU cg: RN v1: Easily Palpable v2: Easily Palpable st: NotStopd t0: [08:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [08:00:00 02/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [08:00:00 02/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [08:00:00 02/12/2009] id: HOB el: 0 cu: CSRU cg: RN v1: 30 degrees st: NotStopd t0: [08:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 75 u1: BPM st: NotStopd t0: [08:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: RN v1: 10 v2: 9 st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: RN v1: Multi-lumen v2: Right IJ st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 6 st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: RN v1: A-Line v2: Left Radial st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: RN v1: 10 v2: 7 st: NotStopd t0: [08:00:00 02/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [08:00:00 02/12/2009] id: Abdominal Assessment el: 0 cu: CSRU cg: RN v1: Soft st: NotStopd t0: [08:00:00 02/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: RN v1: Sharp st: NotStopd t0: [08:00:00 02/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Bedrest st: NotStopd t0: [08:00:00 02/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [08:00:00 02/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 02/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [08:00:00 02/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [08:00:00 02/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [08:00:00 02/12/2009] id: LLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2009] id: LUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [08:00:00 02/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [08:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 93 u1: mmHg v2: 38 u2: mmHg st: NotStopd t0: [08:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 56.3333 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [08:00:00 02/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [08:00:00 02/12/2009] id: Oral Cavity el: 0 cu: CSRU cg: RN v1: Teeth/Tissue WNL st: NotStopd t0: [08:00:00 02/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [08:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 100 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [08:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 66 u1: mmHg st: NotStopd t0: [08:00:00 02/12/2009] id: Position el: 0 cu: CSRU cg: RN v1: Supine st: NotStopd t0: [08:00:00 02/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [08:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [08:00:00 02/12/2009] id: RLL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2009] id: RUL Lung Sounds el: 0 cu: CSRU cg: RN v1: Clear st: NotStopd t0: [08:00:00 02/12/2009] id: Respiratory Pattern el: 0 cu: CSRU cg: RN v1: Regular st: NotStopd t0: [08:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 26 u1: BPM st: NotStopd t0: [08:00:00 02/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [08:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [08:00:00 02/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [08:00:00 02/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 37.1667 u1: Deg. C st: NotStopd t0: [08:00:00 02/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 98.9 u1: Deg. F st: NotStopd t0: [08:00:00 02/12/2009] id: Turn el: 0 cu: CSRU cg: RN v1: Side to Side st: NotStopd t0: [08:00:00 02/12/2009] id: Urine Color/Appear el: 0 cu: CSRU cg: RN v1: Yellow v2: Clear st: NotStopd t0: [08:00:00 02/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Indwelling Cath st: NotStopd t0: [08:00:00 02/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [08:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [08:00:00 02/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [08:00:00 02/12/2009] id: Bowel Sounds el: 0 cu: CSRU cg: RN v1: Present st: NotStopd
t0: [08:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [08:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [09:00:00 02/12/2009] id: TF Residual Gastric/TF Residual el: 1 cu: CSRU cg: -1 ai: 124 vo: 0 st: D/C'd t0: [09:00:00 02/12/2009] id: Gastric Meds PO/Gastric el: 1 cu: CSRU cg: -1 ai: 155 vo: 0 st: D/C'd t0: [09:00:00 02/12/2009] id: Promote w/fiber Tube Feeding el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd
id: Po Intake el: 2 cu: CSRU cg: RN io: Po Intake PO/Gastric du: ml rt: Oral
t0: [09:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [09:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [09:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 91 u1: BPM st: NotStopd t0: [09:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [09:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 48 u2: mmHg st: NotStopd t0: [09:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64.6667 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: RN v1: 101 u1: mmHg v2: 51 u2: mmHg st: NotStopd t0: [09:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: RN v1: 67 u1: mmHg st: NotStopd t0: [09:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [09:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 25 u1: BPM st: NotStopd t0: [09:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 93 u1: % st: NotStopd t0: [09:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [09:00:00 02/12/2009] tf: [13:06:00 02/12/2009] dt: 246 id: Po Intake PO/Gastric el: 2 cu: CSRU cg: RN ai: 109 vo: 240 vu: ml t0: [09:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: RN ai: 168 vo: 5 vu: ml t0: [09:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: RN vo: 100 vu: ml
t0: [10:00:00 02/12/2009] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: INV Line#4 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: INV Line#4 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: INV Line#4InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: INV Line#4SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: INV#4 WaveformAppear el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: Arterial BP el: 0 cu: CSRU cg: -1 st: D/C'd t0: [10:00:00 02/12/2009] id: Arterial BP Mean el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [10:00:00 02/12/2009] id: Urine Out Foley el: 1 cu: CSRU cg: -1 vo: 0 st: D/C'd
tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Amiodarone HCl f1: TAB v1: 400 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Aspirin EC f1: TAB v1: 325 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: QD fs: 10 dn: 1 m1: Atorvastatin f1: TAB v1: 10 u1: mg
t0: [09:00:00 02/12/2009] id: INV Line#4 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [09:00:00 02/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [09:00:00 02/12/2009] id: Oral Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 02/12/2009] id: Skin Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [09:00:00 02/12/2009] id: Urine Source el: 0 cu: CSRU cg: RN v1: Other/Remarks st: NotStopd t0: [09:00:00 02/12/2009] id: Back Care el: 0 cu: CSRU cg: RN v1: Done st: NotStopd t0: [10:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [10:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [10:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [10:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 96 u1: BPM st: NotStopd t0: [10:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [10:00:00 02/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Chair st: NotStopd t0: [10:00:00 02/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [10:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 102 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [10:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 65.3333 u1: mmHg st: NotStopd t0: [10:00:00 02/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [10:00:00 02/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [10:00:00 02/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 1 Person Assist st: NotStopd t0: [10:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [10:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 28 u1: BPM st: NotStopd t0: [10:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 94 u1: % st: NotStopd t0: [10:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [11:00:00 02/12/2009] id: INV#3Chg o/Wire Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/12/2009] id: INV Line#3 Site Date el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/12/2009] id: INV Line#3 Type/Site el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/12/2009] id: INV Line#3 Zero/Cal el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/12/2009] id: INV Line#3InsertDate el: 0 cu: CSRU cg: -1 st: D/C'd t0: [11:00:00 02/12/2009] id: INV Line#3SiteAppear el: 0 cu: CSRU cg: -1 st: D/C'd
t0: [11:00:00 02/12/2009] id: D5W 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 105 vo: 0 st: D/C'd t0: [11:00:00 02/12/2009] id: Sterile Water 100.0ml IV Infusions el: 1 cu: CSRU cg: -1 ai: 107 vo: 0 st: D/C'd t0: [11:00:00 02/12/2009] id: Packed RBC's IV Infusions el: 1 cu: CSRU cg: -1 ai: 114 vo: 0 st: D/C'd t0: [11:00:00 02/12/2009] id: D5W IV Infusions el: 1 cu: CSRU cg: -1 ai: 168 vo: 0 st: D/C'd
t0: [11:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [11:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [11:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [11:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 78 u1: BPM st: NotStopd t0: [11:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [11:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 90 u1: mmHg v2: 70 u2: mmHg st: NotStopd t0: [11:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 76.6667 u1: mmHg st: NotStopd t0: [11:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [11:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 24 u1: BPM st: NotStopd t0: [11:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 97 u1: % st: NotStopd t0: [11:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd
t0: [08:00:00 02/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [08:00:00 02/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 83 rs: Manual st: NotStopd t0: [11:00:00 02/12/2009] id: INV Line#3 D/C Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 02/12/2009] id: IV #1 Insert Date el: 0 cu: CSRU cg: RN v1: 10 v2: 16 st: NotStopd t0: [11:00:00 02/12/2009] id: IV #1 Site/Size el: 0 cu: CSRU cg: RN v1: Right Wrist v2: 20 gauge st: NotStopd t0: [11:00:00 02/12/2009] id: IV Site Appear #1 el: 0 cu: CSRU cg: RN v1: WNL st: NotStopd t0: [12:00:00 02/12/2009] id: Service Type el: 0 cu: CSRU cg: RN v1: CSRU st: NotStopd t0: [12:00:00 02/12/2009] id: Code Status el: 0 cu: CSRU cg: RN v1: Full Code st: NotStopd t0: [12:00:00 02/12/2009] id: Ectopy Type el: 0 cu: CSRU cg: RN v1: None st: NotStopd t0: [12:00:00 02/12/2009] id: Eye Opening el: 0 cu: CSRU cg: RN v1: 4 Spontaneously st: NotStopd t0: [12:00:00 02/12/2009] id: GCS Total el: 0 cu: CSRU cg: RN v1: 15 u1: points st: NotStopd t0: [12:00:00 02/12/2009] id: Heart Rate el: 0 cu: CSRU cg: RN v1: 73 u1: BPM st: NotStopd t0: [12:00:00 02/12/2009] id: Heart Rhythm el: 0 cu: CSRU cg: RN v1: Normal Sinus st: NotStopd t0: [12:00:00 02/12/2009] id: Activity el: 0 cu: CSRU cg: RN v1: Ambulate st: NotStopd t0: [12:00:00 02/12/2009] id: Activity Tolerance el: 0 cu: CSRU cg: RN v1: Tolerated Well st: NotStopd t0: [12:00:00 02/12/2009] id: Inc Closure/Appear#1 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 02/12/2009] id: Inc Closure/Appear#3 el: 0 cu: CSRU cg: RN v1: Steri-strip v2: Clean and Dry st: NotStopd t0: [12:00:00 02/12/2009] id: Incision/Wound #1 el: 0 cu: CSRU cg: RN v1: Sternum st: NotStopd t0: [12:00:00 02/12/2009] id: Incision/Wound #3 el: 0 cu: CSRU cg: RN v1: Left Leg st: NotStopd t0: [12:00:00 02/12/2009] id: Level of Conscious el: 0 cu: CSRU cg: RN v1: Alert st: NotStopd t0: [12:00:00 02/12/2009] id: Motor Response el: 0 cu: CSRU cg: RN v1: 6 Obeys Commands st: NotStopd t0: [12:00:00 02/12/2009] id: NBP el: 0 cu: CSRU cg: RN v1: 98 u1: mmHg v2: 47 u2: mmHg st: NotStopd t0: [12:00:00 02/12/2009] id: NBP Mean el: 0 cu: CSRU cg: RN v1: 64 u1: mmHg st: NotStopd t0: [12:00:00 02/12/2009] id: O2 Delivery Device el: 0 cu: CSRU cg: RN v1: Nasal Cannula st: NotStopd t0: [12:00:00 02/12/2009] id: O2 Flow (lpm) el: 0 cu: CSRU cg: RN v1: 2 u1: lpm st: NotStopd t0: [12:00:00 02/12/2009] id: Orientation el: 0 cu: CSRU cg: RN v1: Oriented x 3 st: NotStopd t0: [12:00:00 02/12/2009] id: Assistance Device el: 0 cu: CSRU cg: RN v1: 2 Person Assist st: NotStopd t0: [12:00:00 02/12/2009] id: Precautions el: 0 cu: CSRU cg: RN v1: Universal st: NotStopd t0: [12:00:00 02/12/2009] id: Respiratory Rate el: 0 cu: CSRU cg: RN v1: 18 u1: BPM st: NotStopd t0: [12:00:00 02/12/2009] id: Side Rails el: 0 cu: CSRU cg: RN v1: Side Rails Up st: NotStopd t0: [12:00:00 02/12/2009] id: SpO2 el: 0 cu: CSRU cg: RN v1: 98 u1: % st: NotStopd t0: [12:00:00 02/12/2009] id: Support Systems el: 0 cu: CSRU cg: RN v1: Spouse st: NotStopd t0: [12:00:00 02/12/2009] id: Temp. Site el: 0 cu: CSRU cg: RN v1: Oral st: NotStopd t0: [12:00:00 02/12/2009] id: Temperature C (calc) el: 0 cu: CSRU cg: RN v1: 35.8889 u1: Deg. C st: NotStopd t0: [12:00:00 02/12/2009] id: Temperature F el: 0 cu: CSRU cg: RN v1: 96.6 u1: Deg. F st: NotStopd t0: [12:00:00 02/12/2009] id: Verbal Response el: 0 cu: CSRU cg: RN v1: 5 Oriented st: NotStopd t0: [12:00:00 02/12/2009] id: calprevflg el: 0 cu: CSRU cg: RN v1: 1 u1: kg st: NotStopd t0: [12:00:00 02/12/2009] id: Behavior el: 0 cu: CSRU cg: RN v1: Calm st: NotStopd t0: [12:00:00 02/12/2009] id: Fingerstick Glucose Chemistry el: 0 cu: CSRU cg: RN v1: 142 rs: Manual st: NotStopd
t0: [12:00:00 02/12/2009] id: Po Intake PO/Gastric el: 2 cu: CSRU cg: RN ai: 109 vo: 120 vu: ml
t0: [23:00:00 02/12/2009] dt: 24 id: PO/Gastric In Total el: 3 cu: -1 cg: RN cv: 360 ap: none
tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IH fr: Q6H fs: 16, 22, 4, 10 dn: 4 m1: Albuterol-Ipratropium f1: AERO v1: 1-2 u1: PUFF tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: HS:PRN m1: Diphenhydramine HCl f1: CAP v1: 25 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: HS:PRN m1: Milk of Magnesia f1: SUSP v1: 30 u1: ml tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q12H fs: 16, 4 dn: 2 m1: Furosemide f1: TAB v1: 40 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q12H fs: 16, 4 dn: 2 m1: Potassium Chloride f1: CAP v1: 20 u1: mEq tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q24H fs: 16 dn: 1 m1: Pantoprazole f1: TAB v1: 40 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Acetaminophen f1: TAB v1: 650 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q4H:PRN m1: Oxycodone-Acetaminophen f1: TAB v1: 1-2 u1: TAB tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: Q6H:PRN m1: Ibuprofen f1: TAB v1: 400 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: TID fs: 08, 16, 22 dn: 3 m1: Metoprolol f1: TAB v1: 12.5 u1: mg tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PR fr: QD:PRN m1: Bisacodyl (Rectal) f1: SUPP v1: 10 u1: mg
tf: [19:00:00 04/12/2009] pt: Unit Dose rt: PO fr: BID fs: 10, 22 dn: 2 m1: Docusate Sodium f1: CAP v1: 100 u1: mg
tf: [19:00:00 04/12/2009] pt: Unit Dose rt: IV fr: ONCE fs: 13 dn: 1 m1: Insulin Human Regular f1: INJ v1: 2 u1: UNIT